Provider Demographics
NPI:1407273113
Name:GOVE, PATRICIA HALL
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:HALL
Last Name:GOVE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 HIGH SCHOOL AVE
Mailing Address - Street 2:SHELBY CITY SCHOOLS
Mailing Address - City:SHELBY
Mailing Address - State:OH
Mailing Address - Zip Code:44875
Mailing Address - Country:US
Mailing Address - Phone:419-342-3520
Mailing Address - Fax:419-347-3586
Practice Address - Street 1:25 HIGH SCHOOL AVE
Practice Address - Street 2:SHELBY CITY SCHOOLS
Practice Address - City:SHELBY
Practice Address - State:OH
Practice Address - Zip Code:44875
Practice Address - Country:US
Practice Address - Phone:419-342-3520
Practice Address - Fax:419-347-3586
Is Sole Proprietor?:No
Enumeration Date:2014-03-20
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP7075235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist