Doctor Name: | MR. MICHAEL LOUIS HOVANCSEK |
NPI Number: | 1194908244 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.ED. PC |
License Number: | C0500400 |
Business Practice Address: | 3924 Clock Pointe Trl Suite 104 Stow, OH - 442242952 |
Business Phone Number: | 3304751870 |
Business Fax Number: | 3304751872 |
Mailing Address: | 3924 Clock Pointe Trl, Suite 104 STOW |
State: | OH |
Postal Code: | 442242952 |
Phone Number: | 3304751870 |
Fax Number: | 3304751872 |
NPI Enumeration Date: | 12/12/2007 |
NPI Last Update Date: | 12/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | C0500400 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |