Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 30624 | CA |
Y | 103T00000X | Psychologist | 30624 | CA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 30624 | CA |
NPI | 1053883025 |
---|---|
Provider Name | Dr. Lindsey Brooke Hopkins |
First Address | Oakland, CA 94612-4191 |
Second Address | Oakland, CA 94612-4191 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2018 |
Last Update Date | 31/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30624 | BOARD OF PSYCHOLOGY (01) | CA |