Provider Demographics
NPI:1013619824
Name:HOOLEY, RAYMOND MICHAEL JR
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:MICHAEL
Last Name:HOOLEY
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 KINGS HWY E
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-1905
Mailing Address - Country:US
Mailing Address - Phone:856-429-6930
Mailing Address - Fax:856-429-2641
Practice Address - Street 1:206 KINGS HWY E
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-1905
Practice Address - Country:US
Practice Address - Phone:856-429-6930
Practice Address - Fax:856-429-2641
Is Sole Proprietor?:No
Enumeration Date:2023-03-17
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ152500237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist