Provider Demographics
NPI:1922408780
Name:HOVAN, JANE
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:HOVAN
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 1:3910 CRAWFORD AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHERN CAMBRIA
Mailing Address - State:PA
Mailing Address - Zip Code:15714-2030
Mailing Address - Country:US
Mailing Address - Phone:814-322-5970
Mailing Address - Fax:
Practice Address - Street 1:25 E PARK AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-2271
Practice Address - Country:US
Practice Address - Phone:814-371-3763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-29
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH001565103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst