| Jacqueline S Odom Phd | |
|
30375 Northwestern Hwy Ste 200 Farmington Hills MI 48334-3299 | |
| (248) 202-3367 | |
| (248) 254-3333 |
| Full Name | Jacqueline S Odom Phd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 30375 Northwestern Hwy Ste 200, Farmington Hills, Michigan |
| Authorized Official Name and Position | Jacqueline S Odom (PRESIDENT) |
| Authorized Official Contact | 2482023367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline S Odom Phd 6250 Gilbert Lake Rd Bloomfield Hills MI 48301-1926 Ph: (248) 202-3367 | Jacqueline S Odom Phd 30375 Northwestern Hwy Ste 200 Farmington Hills MI 48334-3299 Ph: (248) 202-3367 |
| NPI Number | 1437419025 |
|---|---|
| Provider Enumeration Date | 05/17/2012 |
| Last Update Date | 05/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437419025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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