Provider Demographics
NPI:1093878175
Name:HOOD, RICHARD (SLP)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:
Last Name:HOOD
Suffix:
Gender:M
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4474 SE 82ND ST
Mailing Address - Street 2:
Mailing Address - City:RUNNELLS
Mailing Address - State:IA
Mailing Address - Zip Code:50237-2249
Mailing Address - Country:US
Mailing Address - Phone:515-265-3645
Mailing Address - Fax:515-221-2700
Practice Address - Street 1:1978 GRAND AVE
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-4217
Practice Address - Country:US
Practice Address - Phone:515-221-2220
Practice Address - Fax:515-221-2700
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00562235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist