Dr Lisa Nichole Odom, PSYD - Counselor in Alpine, CA

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Dr Lisa Nichole Odom, PSYD is a Student In An Organized Health Care Education/training Program based in Alpine, California. Dr Lisa Nichole Odom is licensed to practice in * (Not Available) (license number ) and her current practice location is 2120 Alpine Blvd., 2120 Alpine Boulevard, Alpine, California. She can be reached at her office (for appointments etc.) via phone at (619) 544-0633.

NPI number for Dr Lisa Nichole Odom is 1801108345 and her current mailing address is 2120 Alpine Blvd, Alpine, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801108345.

Contact Information

Dr Lisa Nichole Odom, PSYD
2120 Alpine Blvd., 2120 Alpine Boulevard,
Alpine, CA 91901
(619) 544-0633
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDr Lisa Nichole Odom
GenderFemale
SpecialityStudent In An Organized Health Care Education/training Program
Location2120 Alpine Blvd., Alpine, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1801108345
  • Provider Enumeration Date: 07/13/2010
  • Last Update Date: 02/10/2014

Medical Identifiers

Medical identifiers for Dr Lisa Nichole Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801108345NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lisa Nichole Odom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lisa Nichole Odom, PSYD
2120 Alpine Blvd,
Alpine, CA 91901-2113

Ph: (619) 544-0633		Dr Lisa Nichole Odom, PSYD
2120 Alpine Blvd., 2120 Alpine Boulevard,
Alpine, CA 91901

Ph: (619) 544-0633

Reviews and Comments


Student in an Organized Health Care Education/Training Program in Alpine, CA


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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