| Doctor Name: | DR. DAVID ANTHONY SOPER |
| NPI Number: | 1043309586 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D., HSPP |
| License Number: | 20040752A |
| Business Practice Address: | 18167 Kinder Oak Dr Noblesville, IN - 460627574 |
| Business Phone Number: | 3176262462 |
| Business Fax Number: | |
| Mailing Address: | 18167 Kinder Oak Dr, NOBLESVILLE |
| State: | IN |
| Postal Code: | 460627574 |
| Phone Number: | 3176262462 |
| Fax Number: | |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TM1800X |
| License Number: | 20040752A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Mental Retardation & Developmental Disabilities |
| Taxonomy Definition: | |