Individual
JACOB L HOOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., CCC-SLP
Contact information
Practice address
841 W MARION RD, MOUNT GILEAD, OH 43338-1031
(419) 947-2015
Mailing address
9576 EVANESCENT WAY APT 1312, ORLANDO, FL 32836-5534
(740) 704-2222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.11243
OH
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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