Individual
JEDEDIAH MUIR HOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2415 UNIVERSITY AVE, EAST PALO ALTO COMMUNITY COUNSELLING - 3RD FLOOR, EAST PALO ALTO, CA 94303-1164
(650) 773-1471
(650) 489-1320
Mailing address
2415 UNIVERSITY AVE, EAST PALO ALTO COMMUNITY COUNSELLING - 3RD FLOOR, EAST PALO ALTO, CA 94303-1164
(650) 773-1471
(650) 489-1320
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A93285
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A93285
CA
Other
Enumeration date
10/17/2006
Last updated
01/12/2011
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