Provider Demographics
NPI:1922504901
Name:HOOPER, VINCENT SCOTT (PHD)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:SCOTT
Last Name:HOOPER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6112 MONT RICHER AVE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-9314
Mailing Address - Country:US
Mailing Address - Phone:423-488-5003
Mailing Address - Fax:
Practice Address - Street 1:6112 MONT RICHER AVE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-9314
Practice Address - Country:US
Practice Address - Phone:423-488-5003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-30
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool