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NPI Code Detail

MEDICARE: JENNIFER ODEN

MEDICARE: JENNIFER ODEN
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
1103T00000XPsychologist
2103TS0200XSchool Psychologist

General Provider Information

NPI Number : 1770440638
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ODEN
Provider Business Mailing Address
First Line : 2150 PICKWICK DR # 304
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-9998
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 550 TEMPLE AVE
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-4833
Country : US
Telephone Number : 855-900-7325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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Directions to “ JENNIFER ODEN ” Practice Location

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