Provider Demographics
NPI:1811445265
Name:HOOTER, JOY (AUD)
Entity type:Individual
Prefix:DR
First Name:JOY
Middle Name:
Last Name:HOOTER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:POSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:50 HILLCREST MEDICAL BLVD
Mailing Address - Street 2:#206
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-8952
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:50 HILLCREST MEDICAL BLVD
Practice Address - Street 2:#206
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-8952
Practice Address - Country:US
Practice Address - Phone:254-202-7950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80900231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist