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Organization

TERESA ELIAS-HOOPER, PSY. D LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA ELIAS-HOOPER PSY.D (OWNER)
(601) 856-0582
Entity
Organization

Contact information

Practice address
529 S. PEAR ORCHARD ROAD. SUITE B, RIDGELAND, MS 39157
(601) 856-0582
Mailing address
529 S. PEAR ORCHARD ROAD. SUITE B, RIDGELAND, MS 39157
(601) 856-0582

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33543
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00120519
MS
01
436312198
BLUE CROSS BLUE SHIELD
MS
Enumeration date
09/30/2008
Last updated
09/30/2008
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