Healthcare Provider Details

I. General information

NPI: 1972168912
Provider Name (Legal Business Name): DWIGHT HOOD PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2019
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2935 BYBERRY RD STE 108
HATBORO PA
19040-2831
US

IV. Provider business mailing address

PO BOX 5128
LIMERICK PA
19468-0804
US

V. Phone/Fax

Practice location:
  • Phone: 215-957-9771
  • Fax:
Mailing address:
  • Phone: 215-327-2599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC018028
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number5501025757
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: