| Todd Overman Psychological, Llc | |
|
1068 Epperly Way West Linn OR 97068-5400 | |
| (503) 349-9982 | |
| Not Available |
| Full Name | Todd Overman Psychological, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1068 Epperly Way, West Linn, Oregon |
| Authorized Official Name and Position | Aaron Todd Overman (OWNER) |
| Authorized Official Contact | 5033499982 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Overman Psychological, Llc 1068 Epperly Way West Linn OR 97068-5400 Ph: () - | Todd Overman Psychological, Llc 1068 Epperly Way West Linn OR 97068-5400 Ph: (503) 349-9982 |
| NPI Number | 1164185815 |
|---|---|
| Provider Enumeration Date | 10/20/2021 |
| Last Update Date | 10/20/2021 |
| Certification Date | 10/20/2021 |
| Medicare PECOS PAC ID | 8527457290 |
|---|---|
| Medicare Enrollment ID | O20211118001016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164185815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Aaron T Overman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982793170 PECOS PAC ID: 8527146000 Enrollment ID: I20080424000113 |
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