Healthcare Provider Details

I. General information

NPI: 1215727300
Provider Name (Legal Business Name): DANIELLE ROSE HOVSEPIAN AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 N DIVISION ST STE 120
TRAVERSE CITY MI
49684-2009
US

IV. Provider business mailing address

315 N DIVISION ST
TRAVERSE CITY MI
49684-2009
US

V. Phone/Fax

Practice location:
  • Phone: 346-291-2206
  • Fax: 231-403-0944
Mailing address:
  • Phone: 231-403-0944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: