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Contact Information

SUSAN D ODOM, PhD
13423 BLANCO RD UNIT 803
SAN ANTONIO, TX78216-2187
 Phone: 210-689-1100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Health

103TH0004X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SUSAN D ODOM · (Female)

NPI Number 1043481195
Status Active
Credentials PhD
Entity Individual
Enumeration date 03/17/2008
Last updated 05/17/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 33728
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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