Provider Demographics
NPI:1649507542
Name:HOOVER, KALEENA M (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:KALEENA
Middle Name:M
Last Name:HOOVER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:KALEENA
Other - Middle Name:M
Other - Last Name:ROGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:515 TAILGATE TER
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4795
Mailing Address - Country:US
Mailing Address - Phone:301-717-9487
Mailing Address - Fax:
Practice Address - Street 1:1400 NALLEY TER RM 19
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-4434
Practice Address - Country:US
Practice Address - Phone:301-717-9487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-13
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist