Provider Demographics
NPI:1235805375
Name:OVERPECK, AMY L (PSYD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:OVERPECK
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 N. FIRST STREET BLDG 46
Mailing Address - Street 2:
Mailing Address - City:ALTUS AFB
Mailing Address - State:OK
Mailing Address - Zip Code:73523
Mailing Address - Country:US
Mailing Address - Phone:580-481-5244
Mailing Address - Fax:
Practice Address - Street 1:301 N. FIRST ST, BLDG 46
Practice Address - Street 2:
Practice Address - City:ALTUS AFB
Practice Address - State:OK
Practice Address - Zip Code:73523-5005
Practice Address - Country:US
Practice Address - Phone:804-815-2445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist