Provider Demographics
NPI:1497995104
Name:HOPKINS, JAIME LEE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:LEE
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6711 LAKE VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-2601
Mailing Address - Country:US
Mailing Address - Phone:443-683-6149
Mailing Address - Fax:
Practice Address - Street 1:1990 K ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1103
Practice Address - Country:US
Practice Address - Phone:443-683-6149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-20
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1001433103TC0700X
FLPY7804103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical