Provider Demographics
NPI:1508009739
Name:FETCHKO-HOPKINS, CORA WINIFRED (PHD)
Entity Type:Individual
Prefix:DR
First Name:CORA
Middle Name:WINIFRED
Last Name:FETCHKO-HOPKINS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:416 ALLEGEHNY RIVER BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139
Mailing Address - Country:US
Mailing Address - Phone:412-828-0765
Mailing Address - Fax:412-828-5660
Practice Address - Street 1:416 ALLEGHENY RIVER BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:OAKMONT
Practice Address - State:PA
Practice Address - Zip Code:15139-1735
Practice Address - Country:US
Practice Address - Phone:412-828-0765
Practice Address - Fax:412-828-5660
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005065101YP2500X
103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional