Dr. Susan Dean Odom
Psychologist Health Psychologist Group Psychotherapist Counseling Psychologist and 1 more
24123 Boerne Stage Rd Suite 430
San Antonio
, Texas 78255-9403
Dr. Susan Dean Odom
Psychologist Health Psychologist Group Psychotherapist Counseling Psychologist and 1 more
24123 Boerne Stage Rd Suite 430
San Antonio
, Texas 78255-9403
(210) 324-6343
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About
Features
Specialties
- Psychologist
- Cognitive & Behavioral Psychologist
- Counseling Psychologist
- Health Psychologist
- Group Psychotherapist
Languages spoken
- English
Location
First Address
- Dr. Susan Dean Odom
- 24165 W I H 10 Ste 217-484
- San Antonio, TX
- Zip : 78257-1159
- Phone : (210) 324-6343
Second Address
- Dr. Susan Dean Odom
- 24123 Boerne Stage Rd Suite 430
- San Antonio, TX
- Zip : 78255-9403
- Phone : (210) 698-1100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 33728 | TX |
| Y | 103T00000X | Psychologist | 33728 | TX |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | 33728 | TX |
| N | 103TC1900X | Counseling Psychologist | 33728 | TX |
| N | 103TH0004X | Health Psychologist | 33728 | TX |
| N | 103TP2701X | Group Psychotherapist | 33728 | TX |
National Provider Identifier
| NPI | 1043481195 |
|---|---|
| Provider Name | Dr. Susan Dean Odom |
| First Address | San Antonio, TX 78257-1159 |
| Second Address | San Antonio, TX 78255-9403 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/03/2008 |
| Last Update Date | 17/03/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.