Provider Demographics
NPI:1114060944
Name:YOPP, JUSTIN MICHAEL (PHD)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:MICHAEL
Last Name:YOPP
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:170 MANNING DRIVE 3RD FLOOR CLB
Mailing Address - Street 2:UNC
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:919-445-5415
Mailing Address - Fax:919-966-2404
Practice Address - Street 1:170 MANNING DRIVE 3RD FLOOR CLB
Practice Address - Street 2:UNC
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-445-5415
Practice Address - Fax:919-966-2404
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3828103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical