Provider Demographics
NPI:1285652461
Name:HOOPES, JONI L (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JONI
Middle Name:L
Last Name:HOOPES
Suffix:
Gender:F
Credentials:MS 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:PO BOX 1806
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83403-1806
Mailing Address - Country:US
Mailing Address - Phone:208-313-0754
Mailing Address - Fax:208-313-0754
Practice Address - Street 1:3446 MERLIN DRIVE
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83404
Practice Address - Country:US
Practice Address - Phone:208-523-3662
Practice Address - Fax:208-523-6002
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist