| NPI | 1497989370 |
|---|---|
| Doing Business As | SOUTHERN OAK PSYC CLINIC |
| Entity Type | Organization |
| Authorized Contact | CORNELIA P OVERSTREET Insurance Manager 251-275-4043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2018-06-21 |