Provider Demographics
NPI:1003373929
Name:HOPKINS, RACHEL LEIGH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:LEIGH
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 S 900 E
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102-4103
Mailing Address - Country:US
Mailing Address - Phone:801-419-0139
Mailing Address - Fax:
Practice Address - Street 1:164 S 900 E
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-4103
Practice Address - Country:US
Practice Address - Phone:801-419-0139
Practice Address - Fax:385-227-8099
Is Sole Proprietor?:No
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10941615-2501103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical