DR. MAX NAGLE OVERTON PHD.

Clinical Neuropsychologist

Sevierville, Tennessee

Provider NPI: 1255358057

Provider Information:
DR. MAX NAGLE OVERTON PHD.
Gender: M
Sole Proprietor


Practice Location:
856 MIDDLE CREEK RD  SEVIERVILLE, TN 37862 US
Tel: 865-428-2193  Fax: 865-428-2090

Business Mailing Address:
856 MIDDLE CREEK RD  SEVIERVILLE, TN 37862 US
Tel: 865-428-2193  Fax: 865-428-2090

Entity Type: Individual

Taxonomy:

Primary	Code	Category/Description	State	License Number
X	103G00000X	Behavioral Health & Social Service Providers Clinical Neuropsychologist	TN	P0000000983
X	103TC0700X	Behavioral Health & Social Service Providers Psychologist	TN	P0000000983

Other Provider Identifiers:

Issuer	Number	State	Type
	3685358	TN	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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