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