Provider Demographics
NPI:1700640331
Name:HOOVER, PAIGE MORGAN
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:MORGAN
Last Name:HOOVER
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 1:1757 VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:WEST DECATUR
Mailing Address - State:PA
Mailing Address - Zip Code:16878-9020
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1757 VALLEY RD
Practice Address - Street 2:
Practice Address - City:WEST DECATUR
Practice Address - State:PA
Practice Address - Zip Code:16878-9020
Practice Address - Country:US
Practice Address - Phone:814-553-5058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-13
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health