Healthcare Provider Details

I. General information

NPI: 1215165113
Provider Name (Legal Business Name): CARRIE OVERSCHMIDT M.S., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARRIE SUE LOVE M.S., CCC-A

II. Dates (important events)

Enumeration Date: 06/30/2009
Last Update Date: 01/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 CENTER ST STE. A
MOBILE AL
36604-1512
US

IV. Provider business mailing address

PO BOX 40277
MOBILE AL
36640-0277
US

V. Phone/Fax

Practice location:
  • Phone: 251-432-4560
  • Fax: 251-439-7851
Mailing address:
  • Phone: 251-445-9378
  • Fax: 251-445-9377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number953A
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: