Individual
DR. SUSAN DEAN ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
13423 BLANCO RD UNIT 803, SAN ANTONIO, TX 78216-2187
(210) 689-1100
Mailing address
13423 BLANCO RD UNIT 803, SAN ANTONIO, TX 78216-2187
(210) 557-2266
(210) 624-8789
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
33728
TX
103TB0200X
Cognitive & Behavioral Psychologist
33728
TX
103TC1900X
Counseling Psychologist
33728
TX
103TH0004X
Health Psychologist
33728
TX
Other
Enumeration date
03/17/2008
Last updated
05/17/2023
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