Individual
DR. TIMOTHY OVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3535 MARKET ST, PHILADELPHIA, PA 19104-3309
(215) 898-4163
Mailing address
819 ALEXANDER RD, PRINCETON, NJ 08540-6303
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018946
PA
Other
Enumeration date
07/10/2012
Last updated
04/24/2021
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