Provider Demographics
NPI:1891432209
Name:SODEN, DANIEL JOHN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JOHN
Last Name:SODEN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6829 N 72ND ST STE 4700
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68122-1728
Mailing Address - Country:US
Mailing Address - Phone:402-572-2169
Mailing Address - Fax:402-572-3749
Practice Address - Street 1:6829 N 72ND ST STE 4700
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68122-1728
Practice Address - Country:US
Practice Address - Phone:402-572-2169
Practice Address - Fax:402-572-3749
Is Sole Proprietor?:No
Enumeration Date:2022-05-17
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist