Individual
LACEY HOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD CCC-SLP
Contact information
Practice address
261 US HIGHWAY 11, TRUSSVILLE, AL 35173-4258
(205) 875-0405
Mailing address
7787 JAYDEN DR, TRUSSVILLE, AL 35173-1174
(334) 462-9173
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3580
AL
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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