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Individual

JANET KAY SOUDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
187 W SCHROCK RD, WESTERVILLE, OH 43081-2890
(614) 722-4700
(614) 722-4718
Mailing address
187 W SCHROCK RD, WESTERVILLE, OH 43081-2890
(614) 722-4700
(614) 722-4718

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
4391
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0139552
OH
Enumeration date
03/08/2007
Last updated
04/08/2022
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