Provider Demographics
NPI:1346487063
Name:HOOVER, KATHERINE (PHD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:HOOVER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:HOOVER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:LAGRANGE
Mailing Address - State:KY
Mailing Address - Zip Code:40031-0066
Mailing Address - Country:US
Mailing Address - Phone:502-418-1693
Mailing Address - Fax:502-222-5252
Practice Address - Street 1:208 PARKER DR
Practice Address - Street 2:SUITE 1D
Practice Address - City:LA GRANGE
Practice Address - State:KY
Practice Address - Zip Code:40031-2233
Practice Address - Country:US
Practice Address - Phone:502-418-1693
Practice Address - Fax:502-222-5252
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-16
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-1488103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist