Healthcare Provider Details

I. General information

NPI: 1013057231
Provider Name (Legal Business Name): SERINA L. HOOVER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 01/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7601 IMPERIAL HWY
DOWNEY CA
90242-3456
US

IV. Provider business mailing address

7601 IMPERIAL HWY HB 226
DOWNEY CA
90242-3456
US

V. Phone/Fax

Practice location:
  • Phone: 562-401-6315
  • Fax: 562-401-6678
Mailing address:
  • Phone: 562-682-5867
  • Fax: 562-401-6678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number21057
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number21057
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number21057
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: