| Teresa Elias-hooper, Psy. D Ltd | |
|
529 S. Pear Orchard Road. Suite B Ridgeland MS 39157 | |
| (601) 856-0582 | |
| Not Available |
| Full Name | Teresa Elias-hooper, Psy. D Ltd |
|---|---|
| Speciality | Psychologist |
| Location | 529 S. Pear Orchard Road. Suite B, Ridgeland, Mississippi |
| Authorized Official Name and Position | Teresa Elias-hooper (OWNER) |
| Authorized Official Contact | 6018560582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa Elias-hooper, Psy. D Ltd 529 S. Pear Orchard Road. Suite B Ridgeland MS 39157 Ph: (601) 856-0582 | Teresa Elias-hooper, Psy. D Ltd 529 S. Pear Orchard Road. Suite B Ridgeland MS 39157 Ph: (601) 856-0582 |
| NPI Number | 1912158668 |
|---|---|
| Provider Enumeration Date | 09/30/2008 |
| Last Update Date | 09/30/2008 |
| Medicare PECOS PAC ID | 6608934047 |
|---|---|
| Medicare Enrollment ID | O20081112000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912158668 | NPI | - | NPPES |
| 436312198 | Other | MS | BLUE CROSS BLUE SHIELD |
| 00120519 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 33543 (Mississippi) | Primary |
| Provider Name | Teresa Elias Hooper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366554313 PECOS PAC ID: 2062580475 Enrollment ID: I20081010000698 |
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