Healthcare Provider Details

I. General information

NPI: 1780013219
Provider Name (Legal Business Name): JOSEPH DAVID HOVEY PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2013
Last Update Date: 11/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3409 N HOLLAND SYLVANIA RD SUITE 8
SYLVANIA TOWNSHIP OH
43615-1411
US

IV. Provider business mailing address

3409 N HOLLAND SYLVANIA RD SUITE 8
SYLVANIA TOWNSHIP OH
43615-1411
US

V. Phone/Fax

Practice location:
  • Phone: 567-694-6840
  • Fax:
Mailing address:
  • Phone: 567-694-6840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number5700
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5700
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: