Jacqueline S Odom is a Clinical in Royal Oak, Michigan. Jacqueline S Odom practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacqueline S Odom is 1881763464. The last update date is 2007-07-08.
Jacqueline S Odom's current location address is 4949 Coolidge Hwy, Royal Oak, Michigan. You can contact this provider via phone number 2486555900 and fax number 2486555901. The mailing address for Jacqueline S Odom is 4949 Coolidge Hwy, Royal Oak, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline S Odom |
|---|---|
| Address | 4949 Coolidge Hwy, Royal Oak, Michigan |
| Phone Number | 2486555900 |
| Fax Number | 2486555901 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1881763464 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4949 Coolidge Hwy |
|---|---|
| City | Royal Oak |
| State | Michigan (MI) |
| Post Code | 480731026 |
| Phone Number | 2486555900 |
| Fax Number | 2486555901 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | JO010213 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code issued to Jacqueline S Odom by the Centers for Medicare & Medicaid Services?
The Jacqueline S Odom has been assigned the NPI (National Provider Identifier) 1881763464 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Jacqueline S Odom's facilities are geographically located?
The facilities of Jacqueline S Odom are physically situated at the following location: 4949 Coolidge Hwy, Royal Oak, MI, 480731026.
What is Jacqueline S Odom's area of expertise and its corresponding taxonomy classification?
The Jacqueline S Odom's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
When did Jacqueline S Odom receive its 1881763464 assignment?
The Jacqueline S Odom was assigned its 1881763464 on 2006-11-07, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jacqueline S Odom last refreshed?
The information related to the Jacqueline S Odom, including its address, specialty, and other relevant details, was last updated on 2007-07-08.