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Organization

SUSAN D ODOM PHD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUSAN D ODOM PHD (PSYCHOLOGIST)
(210) 698-1100
Entity
Organization

Contact information

Practice address
11107 WURZBACH RD, SUITE 403, SAN ANTONIO, TX 78230-2500
(210) 698-1100
(210) 698-3252
Mailing address
11107 WURZBACH RD, SUITE 403, SAN ANTONIO, TX 78230-2500
(210) 698-1100
(210) 698-3252

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
33728
TX

Other

Enumeration date
06/25/2013
Last updated
06/25/2013
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