Provider Demographics
NPI:1457888232
Name:DOBSON, MARCIA W SOULE (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:W SOULE
Last Name:DOBSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:MARCIA
Other - Middle Name:W
Other - Last Name:DUNBAR-SOULE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3510 TEMPLE DRIVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904
Mailing Address - Country:US
Mailing Address - Phone:719-632-8068
Mailing Address - Fax:
Practice Address - Street 1:3510 TEMPLE DRIVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904
Practice Address - Country:US
Practice Address - Phone:719-632-8068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3259101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional