=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063337905
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MRS. REBECCA MELODY OVERCASH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/11/2026
-----------------------------------------------------
Last Update Date | 08/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 801 PLEASANT ST
-----------------------------------------------------
City | BROCKTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02301-3052
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-586-5977
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 412 SUMMER ST UNIT 113
-----------------------------------------------------
City | ABINGTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02351-2674
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-358-9898
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------