Healthcare Provider Details

I. General information

NPI: 1437357183
Provider Name (Legal Business Name): MARY CHRISTINA HOVE PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2007
Last Update Date: 10/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4225 ROOSEVELT WAY NE SUITE 306
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

1100 NE 45TH ST SUITE 300, BOX 354944
SEATTLE WA
98195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-7792
  • Fax: 206-598-7794
Mailing address:
  • Phone: 206-412-7367
  • Fax: 206-598-7794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: