Provider Demographics
NPI:1689323263
Name:OVERBEY, CARLEY
Entity Type:Individual
Prefix:
First Name:CARLEY
Middle Name:
Last Name:OVERBEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MISSOURI ST
Mailing Address - Street 2:
Mailing Address - City:EMORY
Mailing Address - State:TX
Mailing Address - Zip Code:75440-2247
Mailing Address - Country:US
Mailing Address - Phone:903-309-1450
Mailing Address - Fax:903-309-1451
Practice Address - Street 1:200 MISSOURI ST
Practice Address - Street 2:
Practice Address - City:EMORY
Practice Address - State:TX
Practice Address - Zip Code:75440-2247
Practice Address - Country:US
Practice Address - Phone:903-309-1450
Practice Address - Fax:903-309-1451
Is Sole Proprietor?:No
Enumeration Date:2022-03-22
Last Update Date:2024-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR201035235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist