Healthcare Provider Details

I. General information

NPI: 1356419709
Provider Name (Legal Business Name): DAVID HOVEY M.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 S HIGHLAND ST
WEST HARTFORD CT
06119-1826
US

IV. Provider business mailing address

17 S HIGHLAND ST
WEST HARTFORD CT
06119-1826
US

V. Phone/Fax

Practice location:
  • Phone: 860-966-7790
  • Fax: 860-233-8110
Mailing address:
  • Phone: 860-966-7790
  • Fax: 860-233-8110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1129
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: