Basic Information
| Provider Information | |||||||||
| NPI: | 1356419709 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOVEY | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | |||||||||
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| Credential: | M.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 17 S HIGHLAND ST | ||||||||
| Address2: | |||||||||
| City: | WEST HARTFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 061191826 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8609667790 | ||||||||
| FaxNumber: | 8602338110 | ||||||||
| Practice Location | |||||||||
| Address1: | 17 S HIGHLAND ST | ||||||||
| Address2: | |||||||||
| City: | WEST HARTFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 061191826 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8609667790 | ||||||||
| FaxNumber: | 8602338110 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/02/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 1129 | CT | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.