Hooper, Mary Jo

Hooper, Mary Jo is an individual health care provider with primary practice located at 2706 Hilltop Dr , Newport Beach CA 92660-5404. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Hooper, Mary Jo can be contacted via phone (949) 706-0646.

Contact Information

Primary practice address
2706 Hilltop Dr Newport Beach CA 92660-5404
Fax: (949) 706-0646
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP 12164 California

Profile Details

NPI number 1912985649
LBN Legal business name Hooper, Mary Jo
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Nov 6th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912985649 NPPES
California MEDICAID GSP002164

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