Susan Dean Odom PH.D.

NPI 1043481195 - Psychologist - 103TB0200X

NPI Details
NPI 1043481195
Gender Female
Enumeration Date 03/17/2008
Last Updated 03/17/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
24123 BOERNE STAGE RD
SUITE 430
SAN ANTONIO TX, 78255-9403, US
Phone (210) 698-1100
Fax
Business Location
24165 W I H 10
STE 217-484
SAN ANTONIO TX, 78257-1159, US
Phone (210) 324-6343
Fax
Toxanomy
Taxonomy Code 103TB0200X
License State Texas
License Number 33728
Remove 1043481195 NPI Number
 

According to our database, Dr. Susan Dean Odom PH.D. NPI is 1043481195, taxonomy code is 103TB0200X and license number is 33728, license state is located at Texas. Susan Dean Odom PH.D. physically located at 24123 Boerne Stage Rd, San Antonio TX, 78255-9403. NPI Number Susan Dean Odom PH.D. has the Individual type.

Sponsored links

1043481195 NPI number is provided on an as is basis without warranty of any kind. 1043481195 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Dean Odom PH.D. are for informational purposes only.