Individual
RENEE OVERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 RUCKER STREET, STUART, VA 24171
(276) 694-3163
Mailing address
PO BOX 346, STUART, VA 24171-0346
(276) 694-3163
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PGP-333485
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0813000236
VA DEPT OF HEALTH PROFESSIONALS
VA
01
—
PGP-333485
VA DEPARTMENT OF EDUCATION
VA
Enumeration date
05/01/2018
Last updated
05/01/2018
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