Provider Demographics
NPI:1639335052
Name:KURT HOOVER PHD PA
Entity Type:Organization
Organization Name:KURT HOOVER PHD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HOOVER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:813-926-3170
Mailing Address - Street 1:5221 EHRLICH RD STE A
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-2006
Mailing Address - Country:US
Mailing Address - Phone:813-926-3170
Mailing Address - Fax:813-908-2729
Practice Address - Street 1:5221 EHRLICH RD STE A
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-2006
Practice Address - Country:US
Practice Address - Phone:813-926-3170
Practice Address - Fax:813-908-2729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-05
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY4918103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty