Gerald D. Soderstrom, PH.D.
Psychologist · Wharton, TX
Practice location
1212 Briar LnWharton, TX 77488-4304
- Phone
- (979) 532-0900
NPI record
- NPI
- 1457504086
- Entity type
- Individual (Type 1)
- Enumeration date
- October 28, 2008
- Last updated
- October 28, 2008
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X |
22059 | TX |
| Counseling Psychologist | 103TC1900X |
22059 | TX |
About Dr. Soderstrom
Gerald D. Soderstrom, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 1212 Briar Ln, Wharton, TX 77488-4304. The NPI number 1457504086 was assigned on October 28, 2008 and the record was last updated on October 28, 2008.
Dr. Soderstrom lists 2 licenses in the registry: #22059 (TX) for Psychologist; #22059 (TX) for Counseling Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Gerald D. Soderstrom, PH.D.?
The NPI number is 1457504086.
What is the phone number of Dr. Soderstrom?
The phone number listed for the practice location is (979) 532-0900.
Where is Dr. Soderstrom located?
1212 Briar Ln, Wharton, TX 77488-4304.
What is the taxonomy code for Dr. Soderstrom?
The primary taxonomy code is 103T00000X – Psychologist; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.