Provider Demographics
NPI:1962056648
Name:HOOPER, PERRI (LGPC)
Entity type:Individual
Prefix:
First Name:PERRI
Middle Name:
Last Name:HOOPER
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 NERBAY RD
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:MD
Mailing Address - Zip Code:21221-5821
Mailing Address - Country:US
Mailing Address - Phone:443-255-4638
Mailing Address - Fax:
Practice Address - Street 1:2528 MOUNTAIN RD STE 103
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-7202
Practice Address - Country:US
Practice Address - Phone:410-841-9647
Practice Address - Fax:888-972-6542
Is Sole Proprietor?:No
Enumeration Date:2019-07-30
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health