Doctor Name: | MERRITT HAROLD HOPKINS |
NPI Number: | 1841403359 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LAT |
License Number: | LAT217 |
Business Practice Address: | 121 S 4th St Thermopolis, WY - 824432634 |
Business Phone Number: | 3078643138 |
Business Fax Number: | 3078643139 |
Mailing Address: | 121 S 4th St, THERMOPOLIS |
State: | WY |
Postal Code: | 824432634 |
Phone Number: | 3078643138 |
Fax Number: | 3078643139 |
NPI Enumeration Date: | 05/08/2007 |
NPI Last Update Date: | 07/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LAT217 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |