Healthcare Provider Details

I. General information

NPI: 1427433978
Provider Name (Legal Business Name): PAIGE HOVER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2015
Last Update Date: 12/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 N DEARBORN ST SUITE 400
CHICAGO IL
60654-3873
US

IV. Provider business mailing address

650 N DEARBORN ST SUITE 400
CHICAGO IL
60654-3873
US

V. Phone/Fax

Practice location:
  • Phone: 312-546-3608
  • Fax:
Mailing address:
  • Phone: 312-546-3608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: