Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 21057 | CA |
N | 103TC0700X | Clinical Psychologist | 21057 | CA |
N | 103G00000X | Clinical Psychologist | 21057 | CA |
N | 103TC0700X | Clinical Psychologist | 21057 | CA |
Y | 103TR0400X | Rehabilitation Psychologist | 21057 | CA |
NPI | 1013057231 |
---|---|
Provider Name | Dr. Serina L. Hoover |
First Address | Downey, CA 90242-3456 |
Second Address | Downey, CA 90242-3456 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2007 |
Last Update Date | 18/01/2011 |