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General NPI Number Information
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NPI Number | 1538452065
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Entity Type | Organization
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Legal Business Name | KATHERINE HOOVER, PH.D.,PLLC
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Dates
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Enumeration Date | 05/17/2011
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Last Update Date | 01/09/2014
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Provider Practice Location Address
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Address Line | 208 PARKER DR SUITE 1D
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City | LA GRANGE
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State | KY
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Zip | 40031-2233
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Country | US
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Telephone | 502-418-1693
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Fax | 502-222-5252
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Provider Business Mailing Address
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Address Line | 208 PARKER DR SUITE 1D
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City | LA GRANGE
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State | KY
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Zip | 40031-2233
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Country | US
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Telephone | 502-418-1693
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Fax | 502-222-5252
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Authorized Official
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Title or Position | SOLE OWNER
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Name | KATHERINE HOOVER
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Credential | PH.D.
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Telephone | 502-418-1693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | KY-1488
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License Number State | KY
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