| Kathryn A Oden Phd Pllc | |
|
1833 W Hunt St Ste 203 Mckinney TX 75069-3367 | |
| (940) 453-3188 | |
| Not Available |
| Full Name | Kathryn A Oden Phd Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1833 W Hunt St Ste 203, Mckinney, Texas |
| Authorized Official Name and Position | Kathryn Ann Oden (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9404533188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn A Oden Phd Pllc 206 Northwood Dr Mckinney TX 75071-3534 Ph: (940) 453-3188 | Kathryn A Oden Phd Pllc 1833 W Hunt St Ste 203 Mckinney TX 75069-3367 Ph: (940) 453-3188 |
| NPI Number | 1457005951 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Medicare PECOS PAC ID | 0345689774 |
|---|---|
| Medicare Enrollment ID | O20240418002139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457005951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kathryn A Oden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134368764 PECOS PAC ID: 2163861592 Enrollment ID: I20240418002221 |
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