Page Odom is a Clinical in Odenton, Maryland. Page Odom practices all healthcare services and medical treatments related to Clinical. The NPI Number for Page Odom is 1942463989. The last update date is 2008-07-09.
Page Odom's current location address is 8288 Telegraph Rd, Odenton, Maryland. You can contact this provider via phone number 4103050158 and fax number 4103050159. The mailing address for Page Odom is 8288 Telegraph Rd, Odenton, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Page Odom |
|---|---|
| Address | 8288 Telegraph Rd, Odenton, Maryland |
| Phone Number | 4103050158 |
| Fax Number | 4103050159 |
| Sole Proprietor | Y |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1942463989 |
|---|---|
| Provider Enumeration Date | 2008-07-09 |
| Last Updated Date | 2008-07-09 |
Provider Mailing Address Detail
| Address | 8288 Telegraph Rd |
|---|---|
| City | Odenton |
| State | Maryland (MD) |
| Post Code | 211131130 |
| Phone Number | 4103050158 |
| Fax Number | 4103050159 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 4143 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11833482 | MD | CAQH |
Post Comment/ Review Below
What is the Page Odom's 1942463989?
The Page Odom's NPI (National Provider Identifier) Number is 1942463989. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Page Odom?
The Page Odom is situated at 8288 Telegraph Rd, in the city of Odenton, state of MD, with the zip code 211131130.
What is Page Odom's area of expertise and its corresponding taxonomy classification?
The Page 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 was the Page Odom's 1942463989 issued?
The Page Odom's 1942463989 was issued on 2008-07-09.
As of what date was the information pertaining to Page Odom, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Page Odom, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-07-09.
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