DR. Gerald D Soderstrom, PH.D.

NPI #1457504086 in Wharton, Texas

Provider Information

NPI Number: 1457504086
Entity Type: Individual
Name: DR. Gerald D Soderstrom, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Oct 28, 2008
Last Updated: Oct 28, 2008

Practice Location

Address: 1212 BRIAR LN
City: Wharton
State: Texas
ZIP Code: 77488-4304
Phone: (979) 532-0900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary
Psychologist - Counseling — Counseling	103TC1900X

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