Provider Demographics
NPI:1437245297
Name:HOOPER, MARGI (RPT)
Entity Type:Individual
Prefix:MRS
First Name:MARGI
Middle Name:
Last Name:HOOPER
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9545 RESEDA BLVD
Mailing Address - Street 2:#4
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-2312
Mailing Address - Country:US
Mailing Address - Phone:818-886-2005
Mailing Address - Fax:818-886-8165
Practice Address - Street 1:9545 RESEDA BLVD
Practice Address - Street 2:#4
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-2312
Practice Address - Country:US
Practice Address - Phone:818-886-2005
Practice Address - Fax:818-886-8165
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2009-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT8193174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist