Individual
JEFFREY SOULEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3355 SAINT JOHNS LN, STE F, ELLICOTT CITY, MD 21042-2605
(410) 465-2056
(667) 401-6143
Mailing address
2833 MONTCLAIR DR, ELLICOTT CITY, MD 21043-3423
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D39080
MD
Other
Enumeration date
11/21/2005
Last updated
02/18/2016
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