Healthcare Provider Details

I. General information

NPI: 1689118358
Provider Name (Legal Business Name): VALERIE HOOPER PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2016
Last Update Date: 03/30/2021
Certification Date: 03/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3610 BUTTONWOOD DR STE 200
COLUMBIA MO
65201-3721
US

IV. Provider business mailing address

3610 BUTTONWOOD DR STE 200
COLUMBIA MO
65201-3721
US

V. Phone/Fax

Practice location:
  • Phone: 573-363-4356
  • Fax:
Mailing address:
  • Phone: 573-363-4356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number2016039330
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: