Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 10941615-2501 | UT |
Y | 103TC0700X | Clinical Psychologist | 10941615-2501 | UT |
NPI | 1003373929 |
---|---|
Provider Name | Dr. Rachel Leigh Hopkins |
First Address | Salt Lake City, UT 84102-4103 |
Second Address | Salt Lake City, UT 84102-4103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2019 |
Last Update Date | 27/02/2019 |