Provider Demographics
NPI:1821215609
Name:HOVER, SARAH ALICE (PHD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ALICE
Last Name:HOVER
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 1:380 MAPLE AVE W
Mailing Address - Street 2:SUITE 303
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-5620
Mailing Address - Country:US
Mailing Address - Phone:703-938-5234
Mailing Address - Fax:703-938-2949
Practice Address - Street 1:380 MAPLE AVE W
Practice Address - Street 2:SUITE 303
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-5620
Practice Address - Country:US
Practice Address - Phone:703-938-5234
Practice Address - Fax:703-938-2949
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810002719103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent