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Individual

CAROL OVERTOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
160 ROUTE 9, BAYVILLE, NJ 08721-1229
(732) 349-5550
Mailing address
160 ROUTE 9, BAYVILLE, NJ 08721-1229
(732) 349-5550

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NJ00034000
NJ
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
NJ00034000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4144007
NJ
Enumeration date
09/24/2006
Last updated
10/08/2012
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