Jacqueline S Odom Phd

LBN: Jacqueline S Odom Phd
Jacqueline S Odom Phd is an health care organization with primary practice located at 30375 Northwestern Hwy Ste 200 , Farmington Hills MI 48334-3299. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Jacqueline S Odom Phd can be contacted via phone (248) 202-3367, or through Odom, Jacqueline S via phone (248) 202-3367.

Contact Information

Primary practice address
30375 Northwestern Hwy Ste 200 Farmington Hills MI 48334-3299
Phone: (248) 202-3367
Fax: (248) 254-3333
Website:
Map and Directions
Authorized official contact:
Name: Odom, Jacqueline S PH.D.
Phone: (248) 202-3367

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1437419025
LBN Legal business name Jacqueline S Odom Phd
DBA Doing business as
Authorized official Odom, Jacqueline S PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2012
Last updated May 17th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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