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Individual
DR. GARY T. SOUHEAVER
Active
Individual
DR. GARY T. SOUHEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
7825P
AR
103T00000X
Psychologist
7825P
AR
103TA0700X
Adult Development & Aging Psychologist
Primary
7825P
AR
Other
Enumeration date
03/10/2006
Last updated
09/11/2025
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