Individual
DR. MARLA J SOUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., HSPP
Contact information
Practice address
450 S LANDMARK AVE, BLOOMINGTON, IN 47403-5000
(812) 269-3214
(317) 520-8200
Mailing address
2599 COUNTY ROAD 72, AUBURN, IN 46706-2271
(260) 615-9971
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042225A
IN
103TC2200X
Clinical Child & Adolescent Psychologist
20042225A
IN
Other
Enumeration date
06/13/2008
Last updated
01/31/2025
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