Doctor Name: | ANGELA MARIE HOPKINS |
NPI Number: | 1114080504 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC,SLP |
License Number: | 004862 |
Business Practice Address: | 162 Abba Rd Fitzgerald, GA - 317506047 |
Business Phone Number: | 7063999114 |
Business Fax Number: | |
Mailing Address: | Po Box 158, HARLEM |
State: | GA |
Postal Code: | 308140158 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 004862 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |