DEBORAH A ODOM NPI 1508076423

NPI Information

NPI: 1508076423
Provider Name: DEBORAH A ODOM
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
222 E MAIN ST # 117
BARSTOW, CA
ZIP 92311
Phone: (760) 255-1496
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Deborah A Odom is a peer specialist in Barstow, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Deborah A Odom NPI is 1508076423. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

222 E MAIN ST # 117
BARSTOW, CA
ZIP 92311-361
Phone: (760) 255-1496
Fax: (760) 255-2542

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5401	OTHER	CALIFORNIA	SIMON STAFF NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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