Provider Demographics
NPI:1477744530
Name:DR MARK J HOVEE PSYD LLC
Entity Type:Organization
Organization Name:DR MARK J HOVEE PSYD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOVEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-297-7315
Mailing Address - Street 1:PO BOX 51
Mailing Address - Street 2:
Mailing Address - City:PAINTSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41240-0051
Mailing Address - Country:US
Mailing Address - Phone:606-297-7315
Mailing Address - Fax:
Practice Address - Street 1:1471 KY HWY 40 W
Practice Address - Street 2:
Practice Address - City:STAFFORDSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41256
Practice Address - Country:US
Practice Address - Phone:606-297-7315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY00447Medicare PIN