| Doctor Name: | ANGELA GAIL ODOM |
| NPI Number: | 1073826236 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 105074 |
| Business Practice Address: | 413 N Sherwood Dr White Oak, TX - 756931339 |
| Business Phone Number: | 9039182890 |
| Business Fax Number: | 9032951706 |
| Mailing Address: | Po Box 1299, GILMER |
| State: | TX |
| Postal Code: | 756441299 |
| Phone Number: | 9037347787 |
| Fax Number: | 9037340666 |
| NPI Enumeration Date: | 07/16/2010 |
| NPI Last Update Date: | 08/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 105074 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |