MEDICARE: HILLARY OVERBEY SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1952753923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILLARY OVERBEY SLP

Provider Business Mailing Address
First Line	:	1804 HIGHWAY 45 BYP STE 604
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38305-4403
Country	:	US
Telephone Number	:	731-660-8781
Fax Number	:

Provider Business Practice Location Address
First Line	:	9550 HIGHWAY 412 W STE A
Second Line	:
City	:	LEXINGTON
State	:	TN
Zip	:	38351-5850
Country	:	US
Telephone Number	:	731-967-3224
Fax Number	:	731-967-3305

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2016
Last Update Date	:	03/06/2019

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Directions to “ HILLARY OVERBEY SLP” Practice Location

Language	Start Address	Practice Location

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