MEDICARE: MR. RICHARD HOOD SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	00562	IA

General Provider Information

NPI Number	:	1093878175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD HOOD SLP

Provider Business Mailing Address
First Line	:	4474 SE 82ND ST
Second Line	:
City	:	RUNNELLS
State	:	IA
Zip	:	50237-2249
Country	:	US
Telephone Number	:	515-265-3645
Fax Number	:	515-221-2700

Provider Business Practice Location Address
First Line	:	1978 GRAND AVE
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50265-4217
Country	:	US
Telephone Number	:	515-221-2220
Fax Number	:	515-221-2700

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	07/08/2007

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Directions to “ MR. RICHARD HOOD SLP” Practice Location

Language	Start Address	Practice Location

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