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Blair V Souder, LPC

Counselor in Oxford, PA. Individual provider (NPI-1).

NPI number1831789924
StatusActive
Last updated in NPPESJan 22, 2021

Details

NPI
1831789924
Entity type
Individual (NPI-1)
Name
Blair V Souder
Credential
LPC
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 22, 2021
Certification date
Jan 22, 2021
Last updated
Jan 22, 2021

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 codeDescriptionLicenseStatePrimary
101Y00000X CounselorPC012885PAYes

Practice location

235 Brick Rd
Oxford, PA 19363-1566

Phone 267-772-0148

Mailing address

235 Brick Rd
Oxford, PA 19363-1566

Phone 267-772-0148

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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