DR. Lisa Nichole Odom, PSY.D
NPI #1801108345 in Alpine, California
Provider Information
- NPI Number
- 1801108345
- Entity Type
- Individual
- Name
- DR. Lisa Nichole Odom, PSY.D
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- PSY.D
- Enumeration Date
- Jul 13, 2010
- Last Updated
- Feb 10, 2014
Practice Location
- Address
- 2120 ALPINE BLVD.
- Address 2
- 2120 ALPINE BOULEVARD
- City
- Alpine
- State
- California
- ZIP Code
- 91901
- Phone
- (619) 544-0633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Student in an Organized Health Care Education/Training Program |
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