Provider Demographics
NPI:1912667767
Name:HOOLEY, ISAAC (PHD)
Entity type:Individual
Prefix:
First Name:ISAAC
Middle Name:
Last Name:HOOLEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 S LINN ST STE 17
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-1697
Mailing Address - Country:US
Mailing Address - Phone:319-800-2081
Mailing Address - Fax:
Practice Address - Street 1:332 S LINN ST STE 17
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-1697
Practice Address - Country:US
Practice Address - Phone:319-800-2081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-21
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA108639103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist