| Doctor Name: | DR. JARED LEE OVERTON |
| NPI Number: | 1194822577 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | PY0519 |
| Business Practice Address: | 145 S. Moapa Valley Blvd. Suite 2 Overton, NV - 89040 |
| Business Phone Number: | 7023972900 |
| Business Fax Number: | 7023972915 |
| Mailing Address: | Po Box 1696, OVERTON |
| State: | NV |
| Postal Code: | 890401696 |
| Phone Number: | 7023972900 |
| Fax Number: | 7023972915 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 08/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY0519 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |