| Doctor Name: | RICHARD A HOVERSTEN |
| NPI Number: | 1275561599 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 13298 |
| Business Practice Address: | 18306 W Oregon Ave Litchfield Park, AZ - 853406248 |
| Business Phone Number: | 4808180039 |
| Business Fax Number: | |
| Mailing Address: | 18306 W Oregon Ave, LITCHFIELD PARK |
| State: | AZ |
| Postal Code: | 85340 |
| Phone Number: | 4808180039 |
| Fax Number: | |
| NPI Enumeration Date: | 06/28/2006 |
| NPI Last Update Date: | 04/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 13298 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |