Provider Demographics
NPI:1124377122
Name:HOPKINS, HEATHER LEIGH
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:LEIGH
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2637 GLENN PL
Mailing Address - Street 2:APT 102
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72404-7966
Mailing Address - Country:US
Mailing Address - Phone:870-761-0458
Mailing Address - Fax:
Practice Address - Street 1:2729 E NETTLETON AVE
Practice Address - Street 2:SUITE D
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-4530
Practice Address - Country:US
Practice Address - Phone:870-598-4477
Practice Address - Fax:870-275-6439
Is Sole Proprietor?:No
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR#12-0142355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant