Individual
DR. LISA SIMONE HOVERMALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 WADE AVE, SGHC DIX BUILDING MHA-HQ, CATONSVILLE, MD 21228-4663
(410) 402-8461
(410) 402-8301
Mailing address
5908 WILMARY LN, BALTIMORE, MD 21210-1231
(410) 433-7398
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0048259
MD
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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