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NPI Code Detail

MEDICARE: KATHRYN A ODEN PHD PLLC

MEDICARE: KATHRYN A ODEN PHD PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1457005951
Entity Type Code : Organization
Provider Name (Legal Business Name) : KATHRYN A ODEN PHD PLLC
Provider Business Mailing Address
First Line : 206 NORTHWOOD DR
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-3534
Country : US
Telephone Number : 940-453-3188
Fax Number :
Provider Business Practice Location Address
First Line : 1833 W HUNT ST STE 203
Second Line :
City : MCKINNEY
State : TX
Zip : 75069-3367
Country : US
Telephone Number : 940-453-3188
Fax Number :
Authorized Official
Title or Position : LICENSED PROFESSIONAL COUNSELOR
Name : KATHRYN ANN ODEN
Credential : LPC
Telephone Number : 940-453-3188
Provider Enumeration Date : 02/04/2022
Last Update Date : 02/04/2022

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