Provider Demographics
NPI:1932199866
Name:HOOKS, JULIE A (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:A
Last Name:HOOKS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24900 E HIGHWAY 59
Mailing Address - Street 2:
Mailing Address - City:AFTON
Mailing Address - State:OK
Mailing Address - Zip Code:74331-2703
Mailing Address - Country:US
Mailing Address - Phone:918-786-9434
Mailing Address - Fax:
Practice Address - Street 1:24900 E HIGHWAY 59
Practice Address - Street 2:
Practice Address - City:AFTON
Practice Address - State:OK
Practice Address - Zip Code:74331-2703
Practice Address - Country:US
Practice Address - Phone:918-786-9434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-22
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP2112235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR165889721Medicaid