Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | PY10236 | FL |
NPI | 1114582814 |
---|---|
Provider Name | Dr. Chika Hooper |
First Address | Tallahassee, FL 32308 |
Second Address | Tallahassee, FL 32308-6912 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2019 |
Last Update Date | 08/05/2019 |