Provider Demographics
NPI:1700082047
Name:OVERBY, DEBORAH T (AUDIOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:T
Last Name:OVERBY
Suffix:
Gender:F
Credentials:AUDIOLOGIST
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:TATE
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1008 N 7TH AVE STE H
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-2567
Mailing Address - Country:US
Mailing Address - Phone:406-586-0914
Mailing Address - Fax:406-586-6667
Practice Address - Street 1:1008 N 7TH AVE STE H
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-2567
Practice Address - Country:US
Practice Address - Phone:406-586-0914
Practice Address - Fax:406-586-6667
Is Sole Proprietor?:No
Enumeration Date:2007-06-24
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTSLP-AU-LIC-8916231H00000X
MO2003001677237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist