Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | CO2290 | CO |
Y | 103TC0700X | Clinical Psychologist | CO2290 | CO |
N | 103TR0400X | Rehabilitation Psychologist | CO2290 | CO |
NPI | 1669568960 |
---|---|
Provider Name | Dr. David Canter Hopkins |
First Address | Colorado Springs, CO 80907-7605 |
Second Address | Colorado Springs, CO 80903-2921 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 11/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
126599 | COL HEALTH NETWORK/VALUE (01) | CO |
30755557 | (05) | CO |
633067 | BLUE CROSS BLUE SHIELD (01) | CO |
S16696 | (02) | CO |