Healthcare Provider Details

I. General information

NPI: 1477606838
Provider Name (Legal Business Name): MR. TODD MICHAEL HOVE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2178 JOHNSON AVE
SAN LUIS OBISPO CA
93401-4535
US

IV. Provider business mailing address

240 ASPEN ST APT 4
ARROYO GRANDE CA
93420-3038
US

V. Phone/Fax

Practice location:
  • Phone: 805-788-2932
  • Fax:
Mailing address:
  • Phone: 805-481-2051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: