DR. SUZANNE MOUTON ODUM (NPI# 1801289046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801289046 |
| Entity Type | Individual |
| Full Name | DR. SUZANNE MOUTON ODUM |
| Credential | PH.D. |
| Practice Address |
1011 Augusta Dr Suite 107 Houston TX 77057-2062 |
| Practice Telephone | 7139149944 |
| Practice Fax Number | 7139149599 |
| Mailing Telephone | 7139149944 |
| Mailing Fax Number | 7139149599 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
2-4774 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1011 AUGUSTA DR SUITE 107 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77057-2062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600177 | Andrew J Schneider | Podiatrist | 1011 Augusta Dr, Ste 202, Houston, TX 77057-2060 | 2005-06-22 |
| 1508138165 | Harvey Wallace Fodell | Dentist | 1011 Augusta Dr, Houston, TX 77057-2062 | 2012-01-29 |
| 1376831743 | Mary Eldiwany Abdou | Dentist | 1011 Augusta Dr, Ste. 209, Houston, TX 77057-2062 | 2011-07-19 |
| 1740575281 | Jeffrey John Tollett | Dentist | 1011 Augusta Dr, Suite 100, Houston, TX 77057-2062 | 2011-06-13 |
| 1801066394 | Andrew J Schneider, Dpm | Podiatrist | 1011 Augusta Dr, Suite 202, Houston, TX 77057-2062 | 2008-03-11 |
| 1962691055 | Raja N. Nasir | Dentist | 1011 Augusta Dr, Suite 203, Houston, TX 77057 | 2007-10-15 |
| 1043417413 | Paul W. Newman D.d.s. Pa | Clinic/Center | 1011 Augusta Dr, Suite 106, Houston, TX 77057-2062 | 2007-06-29 |
| 1720296619 | Carolyn Anderson | Psychologist | 1011 Augusta Dr, #107, Houston, TX 77057-2062 | 2007-05-21 |
| 1346453354 | Stephen Christian Bahm | Dentist | 1011 Augusta Dr, #100, Houston, TX 77057-2062 | 2007-05-07 |
| 1609920990 | Leonard E. Crabtree, D.d.s., Inc. | Dentist | 1011 Augusta Dr, Suite 209, Houston, TX 77057-2062 | 2007-01-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366096810 | Valencia Annik Payne | Registered Nurse | 5850 San Felipe Street Suite 500, Houston, TX 77057 | 2019-08-01 |
| 1144874884 | Birds Eye View Optometry Tanglewood Pllc | Optometrist | 5706 San Felipe St, Suite # B400, Houston, TX 77057 | 2019-07-31 |
| 1780168484 | Promidel Group LLC | Durable Medical Equipment & Medical Supplies | 5850 San Felipe Suite 500, Houston, TX 77057 | 2018-09-18 |
| 1750862074 | Express Rehab LLC | Clinic/Center | 6301 Richmond Ave Ste 110, Houston, TX 77057 | 2018-08-24 |
| 1902398258 | Serene Springs Health & Wellness Clinic | Nurse Practitioner | 6300 Richmond Ave Ste 202, Houston, TX 77057 | 2018-06-02 |
| 1063965978 | Crystal Adodo | Nurse Practitioner | 5749 San Felipe, Houston, TX 77057 | 2016-07-27 |
| 1639553266 | Nova Healthcare In LLC | Preventive Medicine | 2425 Fountain View Dr. Suite 160, Houston, TX 77057 | 2015-07-14 |
| 1134502941 | Audiology Partners of Texas, LLC | Hearing Aid Equipment | 5781 Woodway Dr, Houston, TX 77057 | 2015-06-30 |
| 1417348491 | Verimed Health and Medical Wellness Clinic, Inc | Specialist | 6363 Richmond Avenue Suite 278, Houston, TX 77057 | 2015-02-11 |
| 1740688076 | Candus Irby | Technician | 6363 Beverly Hill St Suite 8, Houston, TX 77057 | 2014-12-19 |
| Find all providers in zip 77057 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800537 | Paige Freeman | Psychologist | 22 E Shady Ln # E, Houston, TX 77063-1302 | 2020-11-01 |
| 1841817939 | Meghan Roche | Psychologist | 5880 Inwood Dr Apt 1034, Houston, TX 77057-3207 | 2020-07-06 |
| 1184288755 | Hall Counseling & Counseling Services, Pllc | Psychologist | 1415 North Loop W Ste 300-14, Houston, TX 77008-1664 | 2019-04-29 |
| 1629552872 | Alexandra Caloudas | Psychologist | 4130 Bellaire Blvd Ste 208, Houston, TX 77025-1056 | 2018-09-23 |
| 1255818746 | Cindy Joseph | Psychologist | 11111 Katy Fwy Ste 910, Houston, TX 77079-2119 | 2018-07-26 |
| 1437668217 | Lawanda Hill | Psychologist | 2514 Kingston Street, Unit One, Houston, TX 77019 | 2017-09-25 |
| 1942756762 | Herb Agan | Psychologist | 5317 Maple Street, Houston, TX 77096-1127 | 2016-08-31 |
| 1750739603 | West University Psychological Associates | Psychologist | 1712 Sunset Blvd, Houston, TX 77005-1714 | 2016-06-01 |
| 1295112563 | Jason Yu | Psychologist | 770 S Post Oak Ln, Suite 525, Houston, TX 77056-6665 | 2015-05-06 |
| 1053684480 | Catherine Boswell | Psychologist | 2417 Nottingham St, Houston, TX 77005-1409 | 2012-02-15 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.