Provider Demographics
NPI:1982697082
Name:HOVEY, MARY ANNA (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:ANNA
Last Name:HOVEY
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 1:3131 NW 9TH PL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-5076
Mailing Address - Country:US
Mailing Address - Phone:352-378-2037
Mailing Address - Fax:352-367-8109
Practice Address - Street 1:5200 W NEWBERRY RD
Practice Address - Street 2:STE E2
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-6104
Practice Address - Country:US
Practice Address - Phone:352-378-2037
Practice Address - Fax:352-367-8109
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY3583103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
75647OtherBCBS
75647OtherBCBS