Individual
COURTNEY OVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1100 WYTHE ST UNIT 132, ALEXANDRIA, VA 22313-8004
(703) 982-0438
Mailing address
1100 WYTHE ST UNIT 132, ALEXANDRIA, VA 22313-8004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007658
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2202007658
—
VA
Enumeration date
02/22/2018
Last updated
06/11/2019
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