| Overstreet Psychology Services | |
|
1150 Graham Rd Suite 115 Florissant MO 63031-8077 | |
| (314) 831-7774 | |
| (314) 831-2775 |
| Full Name | Overstreet Psychology Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1150 Graham Rd, Florissant, Missouri |
| Authorized Official Name and Position | Dave L. Overstreet (OWNER) |
| Authorized Official Contact | 3148317774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Overstreet Psychology Services 1150 Graham Rd Suite 115 Florissant MO 63031-8077 Ph: (314) 831-7774 | Overstreet Psychology Services 1150 Graham Rd Suite 115 Florissant MO 63031-8077 Ph: (314) 831-7774 |
| NPI Number | 1760668628 |
|---|---|
| Provider Enumeration Date | 01/10/2008 |
| Last Update Date | 10/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760668628 | NPI | - | NPPES |
| 990001701 | Other | MO | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 01765 (Missouri) | Primary |
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