Healthcare Provider Details

I. General information

NPI: 1972286474
Provider Name (Legal Business Name): SEAN HOVERSON AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2023
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3141 CENTENNIAL BLVD
COLORADO SPRINGS CO
80907-4094
US

IV. Provider business mailing address

3141 CENTENNIAL BLVD
COLORADO SPRINGS CO
80907-4094
US

V. Phone/Fax

Practice location:
  • Phone: 719-327-5660
  • Fax:
Mailing address:
  • Phone: 719-327-5660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1107-A
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: