Provider Demographics
NPI:1417158528
Name:HOOKER, JENNIFER N (CCC-SLP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:N
Last Name:HOOKER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17511 HORSEHEAD RD
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-9607
Mailing Address - Country:US
Mailing Address - Phone:301-254-9553
Mailing Address - Fax:
Practice Address - Street 1:17511 HORSEHEAD RD
Practice Address - Street 2:
Practice Address - City:BRANDYWINE
Practice Address - State:MD
Practice Address - Zip Code:20613-9607
Practice Address - Country:US
Practice Address - Phone:301-254-9553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2024-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist