Souder, Marla J

Souder, Marla J is an individual health care provider with primary practice located at 11141 Parkview Plaza Dr Ste 210 , Fort Wayne IN 46845-1714. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Souder, Marla J can be contacted via phone (260) 266-5400.

Contact Information

Primary practice address
11141 Parkview Plaza Dr Ste 210 Fort Wayne IN 46845-1714
Phone: (260) 266-5400
Fax: (260) 266-5409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 20042225A Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20042225A Indiana

Profile Details

NPI number 1548420474
LBN Legal business name Souder, Marla J
Credentials PSY.D., HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2008
Last updated Mar 2nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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