Organization
OVERTON PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED LEE OVERTON PSY.D. (OWNER)
(702) 563-1000
Entity
Organization
Contact information
Practice address
8975 S PECOS RD, SUITE 8D, HENDERSON, NV 89074-7160
(702) 563-1000
Mailing address
8975 S PECOS RD, SUITE 8D, HENDERSON, NV 89074-7160
(702) 563-1000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0519
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100510224
—
NV
01
—
V12869
MEDICARE - PTAN
NV
Enumeration date
12/17/2013
Last updated
09/07/2021
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