Provider Demographics
NPI:1215165113
Name:OVERSCHMIDT, CARRIE (MS, CCC-A)
Entity type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:
Last Name:OVERSCHMIDT
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:SUE
Other - Last Name:LOVE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-A
Mailing Address - Street 1:PO BOX 40277
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36640-0277
Mailing Address - Country:US
Mailing Address - Phone:251-445-9378
Mailing Address - Fax:251-445-9377
Practice Address - Street 1:1610 CENTER ST
Practice Address - Street 2:STE. A
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-1512
Practice Address - Country:US
Practice Address - Phone:251-432-4560
Practice Address - Fax:251-439-7851
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL953A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist