| Richard L Odor Phd Inc | |
|
7664 Slate Ridge Blvd Reynoldsburg OH 43068-8158 | |
| (614) 863-4119 | |
| (614) 863-4040 |
| Full Name | Richard L Odor Phd Inc |
|---|---|
| Speciality | Psychologist |
| Location | 7664 Slate Ridge Blvd, Reynoldsburg, Ohio |
| Authorized Official Name and Position | Richard L Odor (PRESIDENT) |
| Authorized Official Contact | 6148634119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard L Odor Phd Inc 7664 Slate Ridge Blvd Reynoldsburg OH 43068-8158 Ph: (614) 863-4119 | Richard L Odor Phd Inc 7664 Slate Ridge Blvd Reynoldsburg OH 43068-8158 Ph: (614) 863-4119 |
| NPI Number | 1972587442 |
|---|---|
| Provider Enumeration Date | 11/30/2005 |
| Last Update Date | 11/18/2007 |
| Medicare PECOS PAC ID | 3072696277 |
|---|---|
| Medicare Enrollment ID | O20080212000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972587442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4100 (Ohio) | Primary |
| Provider Name | Richard Odor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245411230 PECOS PAC ID: 4082797287 Enrollment ID: I20080212000046 |
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