Individual
PAUL OVERMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
272 N FRONT ST, SUITE 220, WILMINGTON, NC 28401-4059
(910) 792-0560
Mailing address
105 MAYPOP LN, WILMINGTON, NC 28412-3221
(910) 792-0560
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2544
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045MH
BLUE CROSS BLUE SHIELD
NC
Enumeration date
06/02/2006
Last updated
09/06/2023
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