Provider Demographics
NPI:1104032333
Name:HOOVER, MARCIA HANLEY (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:HANLEY
Last Name:HOOVER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17005 NE 135TH CT
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-1715
Mailing Address - Country:US
Mailing Address - Phone:425-867-3078
Mailing Address - Fax:206-378-5030
Practice Address - Street 1:3307 3RD AVE W
Practice Address - Street 2:118
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-1940
Practice Address - Country:US
Practice Address - Phone:206-281-2630
Practice Address - Fax:206-378-5030
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00009750101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health