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NPI Code Detail

MEDICARE: DR. JAMES CODY VAN HOVEN PH.D.

MEDICARE: DR. JAMES CODY VAN HOVEN PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103G00000XClinical Neuropsychologist685SD

General Provider Information

NPI Number : 1699232520
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES CODY VAN HOVEN PH.D.
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57117-5074
Country : US
Telephone Number : 605-312-8700
Fax Number :
Provider Business Practice Location Address
First Line : 7511 S LOUISE AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57108-5997
Country : US
Telephone Number : 605-312-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2019
Last Update Date : 09/09/2025

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