Doctor Name: | MS. MARY JO HOOPER |
NPI Number: | 1912985649 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SP 12164 |
Business Practice Address: | 2706 Hilltop Dr Newport Beach, CA - 926605404 |
Business Phone Number: | 9497060646 |
Business Fax Number: | 9497060646 |
Mailing Address: | Po Box 12156, NEWPORT BEACH |
State: | CA |
Postal Code: | 926585053 |
Phone Number: | 9497060646 |
Fax Number: | 9497060646 |
NPI Enumeration Date: | 01/03/2006 |
NPI Last Update Date: | 11/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 12164 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |