| Doctor Name: | CAROL OVERTOOM |
| NPI Number: | 1407956022 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | NJ00034000 |
| Business Practice Address: | 160 Route 9 Bayville, NJ - 087211229 |
| Business Phone Number: | 7323495550 |
| Business Fax Number: | |
| Mailing Address: | 160 Route 9, BAYVILLE |
| State: | NJ |
| Postal Code: | 087211229 |
| Phone Number: | 7323495550 |
| Fax Number: | |
| NPI Enumeration Date: | 09/24/2006 |
| NPI Last Update Date: | 10/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0807X |
| License Number: | NJ00034000 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
| Taxonomy Definition: | |