Dr. Dorothy Therese Soukup, PhD LP
Psychologist in Sartell, MN. Individual provider (NPI-1).
NPI number1497846950
StatusActive
Last updated in NPPESOct 16, 2017
Details
- NPI
- 1497846950
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dorothy Therese Soukup
- Credential
- PhD LP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2006
- Last updated
- Oct 16, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | LP3278 | MN | Yes |
Practice location
2385 Troop DriveSuite 202
Sartell, MN 56377
Phone 320-253-2385 · Fax 320-253-2386
Mailing address
2385 Troop DriveSuite 202
Sartell, MN 56377
Phone 320-253-2385 · Fax 320-253-2386
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