Provider Demographics
NPI:1063875987
Name:HOOKS-TENORT, JAMEKA L (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:JAMEKA
Middle Name:L
Last Name:HOOKS-TENORT
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5890 HANGING MOSS RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39206-2148
Mailing Address - Country:US
Mailing Address - Phone:601-757-6954
Mailing Address - Fax:
Practice Address - Street 1:5890 HANGING MOSS RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39206-2148
Practice Address - Country:US
Practice Address - Phone:601-757-6954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS3351235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist