Provider Demographics
NPI:1841551512
Name:HOEVET, ROD E (PSYD)
Entity type:Individual
Prefix:DR
First Name:ROD
Middle Name:E
Last Name:HOEVET
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3518 LACLEDE AVE
Mailing Address - Street 2:MARCHETTI TOWERS EAST
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63103-2011
Mailing Address - Country:US
Mailing Address - Phone:314-977-1201
Mailing Address - Fax:
Practice Address - Street 1:11628 OLD BALLAS RD STE 212
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-7030
Practice Address - Country:US
Practice Address - Phone:314-528-8383
Practice Address - Fax:314-228-5747
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-30
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007036383103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical