| Dr Deborah Dawn White Soulen, PHD | |
|
4570 77th St W Ste 265, Edina, MN 55435-5008 | |
| (612) 351-2251 | |
| Not Available |
| Full Name | Dr Deborah Dawn White Soulen |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 28 Years |
| Location | 4570 77th St W Ste 265, Edina, Minnesota |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932325495 | NPI | - | NPPES |
| 702723100 | Medicaid | MN | |
| 42P38WH | Other | MN | BLUE CROSS OF MN CLINIC # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP3937 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Affinity Psychological Services Pc | 0749528552 | 66 |
| Entity Name | Affinity Psychological Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245610856 PECOS PAC ID: 0749528552 Enrollment ID: O20190220001363 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Deborah Dawn White Soulen, PHD 4570 77th St W Ste 265, Edina, MN 55435-5008 Ph: (612) 351-2251 | Dr Deborah Dawn White Soulen, PHD 4570 77th St W Ste 265, Edina, MN 55435-5008 Ph: (612) 351-2251 |
Dianne Lynn Lockman, M.S., RN, CNS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3919 W 44th St Ste 200, Edina, MN 55424 Phone: 952-922-1977 Fax: 952-922-1980 |
Amanda Mulfinger, Psychologist Medicare: May Accept Medicare Assignments Practice Location: 7301 Ohms Ln Ste 450, Edina, MN 55439 Phone: 952-831-2000 Fax: 952-835-6134 |
Stephanie Peters, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5200 Willson Rd Ste 215, Edina, MN 55424 Phone: 612-787-2344 |
Ms. Mary Jo Ann Poggi, MA LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6950 France Ave So, Suite 103, Edina, MN 55435 Phone: 952-922-9032 |
Dr. Amy Hilburger, Psychologist Medicare: May Accept Medicare Assignments Practice Location: 7401 Metro Blvd Ste 250, Edina, MN 55439 Phone: 612-268-5858 |
Dr. Amy Gimbel, PSYD., LP Psychologist Medicare: Medicare Enrolled Practice Location: 6600 France Ave S, Suite 230, Edina, MN 55435 Phone: 952-460-9035 Fax: 952-835-9889 |
Dr. Mary Kathryn Kenning, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5100 Eden Ave, Suite 320, Edina, MN 55436 Phone: 952-929-9934 Fax: 612-869-8872 |