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Individual

MICHAEL OVERLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
513 W MOUNT PLEASANT AVE, SUITE 306, LIVINGSTON, NJ 07039-1710
(973) 994-1101
(973) 994-1101
Mailing address
513 W MOUNT PLEASANT AVE, SUITE 306, LIVINGSTON, NJ 07039-1710
(973) 994-1101
(973) 994-1101

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
SI03685
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
053710
VALUE OPTIONS
NJ
01
460217000
MAGELLAN
NJ
01
P1219024
OXFORD
NJ
Enumeration date
01/01/2007
Last updated
12/11/2016
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