Doctor Name: | DR. SUE E HOPPE |
NPI Number: | 1134469505 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 132691 |
Business Practice Address: | 155 West Peterson Drive Mead, OK - 73449 |
Business Phone Number: | 4053200043 |
Business Fax Number: | |
Mailing Address: | 155 W Peterson Dr, MEAD |
State: | OK |
Postal Code: | 73449 |
Phone Number: | 4053200043 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2013 |
NPI Last Update Date: | 02/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 132691 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |