Individual
DR. ANNA ELISE ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
21 BLOOMINGDALE RD, WHITE PLAINS, NY 10605-1504
(646) 734-3697
Mailing address
145 E 84TH ST APT 2D, NEW YORK, NY 10028-2072
(646) 734-3697
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016849
NY
Other
Enumeration date
08/12/2007
Last updated
02/14/2014
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