Healthcare Provider Details

I. General information

NPI: 1902841703
Provider Name (Legal Business Name): SHARON L. HOVIS L.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4608 PENN AVE
PITTSBURGH PA
15224-1315
US

IV. Provider business mailing address

5108 LANTERN HILL DR
PITTSBURGH PA
15236-1562
US

V. Phone/Fax

Practice location:
  • Phone: 412-621-4757
  • Fax: 412-621-9784
Mailing address:
  • Phone: 412-884-7352
  • Fax: 412-886-0888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW008333L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: