MEDICARE: DR. DWIGHT HOOD PH.D.

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	103TS0200X	School Psychologist	5501025757	PA
2	101YP2500X	Professional Counselor	PC018028	PA

General Provider Information

NPI Number	:	1972168912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DWIGHT HOOD PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 5128
Second Line	:
City	:	LIMERICK
State	:	PA
Zip	:	19468-0804
Country	:	US
Telephone Number	:	215-327-2599
Fax Number	:

Provider Business Practice Location Address
First Line	:	2935 BYBERRY RD STE 108
Second Line	:
City	:	HATBORO
State	:	PA
Zip	:	19040-2831
Country	:	US
Telephone Number	:	215-957-9771
Fax Number	:

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

Provider Enumeration Date	:	05/06/2019
Last Update Date	:	06/02/2026

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Directions to “ DR. DWIGHT HOOD PH.D.” Practice Location

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