Dr Gerald D Soderstrom, PHD is a
Psychologist based in Wharton, Texas. Dr Gerald D Soderstrom is licensed to practice in Texas (license number 22059) and his current practice location is
1212 Briar Ln, Wharton, Texas. He can be reached at his office (for appointments etc.) via phone at
(979) 532-0900.
NPI number for Dr Gerald D Soderstrom is 1457504086 and his current mailing address is 1212 Briar Ln, Wharton, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457504086.
Healthcare Provider's Profile
| Full Name | Dr Gerald D Soderstrom |
|---|
| Gender | Male |
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| Speciality | Psychologist |
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| Location | 1212 Briar Ln, Wharton, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457504086
- Provider Enumeration Date: 10/28/2008
- Last Update Date: 10/28/2008
Medical Identifiers
Medical identifiers for Dr Gerald D Soderstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457504086 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 22059 (Texas) | Primary |
| 103TC1900X | Psychologist - Counseling | 22059 (Texas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gerald D Soderstrom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Gerald D Soderstrom, PHD
1212 Briar Ln,
Wharton, TX 77488-4304
Ph: (979) 532-0900 | Dr Gerald D Soderstrom, PHD
1212 Briar Ln,
Wharton, TX 77488-4304
Ph: (979) 532-0900 |
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