Provider Demographics
NPI:1497499594
Name:HOPKINS, KRISTA (PSYD)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:
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 1:6500 POE AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45414-2527
Mailing Address - Country:US
Mailing Address - Phone:937-276-3356
Mailing Address - Fax:937-276-9514
Practice Address - Street 1:6500 POE AVE STE 400
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45414-2527
Practice Address - Country:US
Practice Address - Phone:937-276-3356
Practice Address - Fax:937-276-9514
Is Sole Proprietor?:No
Enumeration Date:2022-04-25
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program