Individual
KELLY L HOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., HSPP
Contact information
Practice address
4306 E STATE BLVD, FORT WAYNE, IN 46815-6915
(260) 460-3203
(260) 460-3271
Mailing address
4306 E STATE BLVD, FORT WAYNE, IN 46815-6915
(260) 460-3203
(260) 460-3271
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043293B
IN
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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