National Provider Identifier

Timothy Overbeck, M.S., CCC-SLP

Timothy Overbeck, M.S., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Fredonia, NY and a listed phone number of (716) 673-3202.

NPI 1831237965Fredonia, NYSpeech-Language Pathologist

Profile Overview

NPI
1831237965
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
February 01, 2007
Last Updated
February 20, 2013

Practice Location

  • 280 Central Ave
  • W123 Thompson Hall
  • Fredonia, NY 14063-1127

Phone: (716) 673-3202

Mailing Address

  • 151 Wilton Avenue
  • Jamestown, NY 14701

Specialties

  • Speech-Language Pathologist (235Z00000X)
  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1831237965
Entity Type
Individual
Last Name
Overbeck
First Name
Timothy
Credential
M.S., CCC-SLP
Mailing Street Address
151 Wilton Avenue
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701
Mailing Country
US
Mailing Phone
(716) 661-3345
Practice Street Address
280 Central Ave
Practice Address Line 2
W123 Thompson Hall
Practice City
Fredonia
Practice State
NY
Practice ZIP Code
14063-1127
Practice Country
US
Practice Phone
(716) 673-3202
Practice Fax
(716) 673-3235
Enumeration Date
February 01, 2007
Last Updated
February 20, 2013
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X), Speech-Language Pathologist (235Z00000X)