Provider Demographics
NPI:1518223379
Name:HOPP, SIERRA (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SIERRA
Middle Name:
Last Name:HOPP
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9594 SHENSTONE DR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-6041
Mailing Address - Country:US
Mailing Address - Phone:720-556-1445
Mailing Address - Fax:
Practice Address - Street 1:9594 SHENSTONE DR
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-6041
Practice Address - Country:US
Practice Address - Phone:720-556-1445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-05
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO05837821Medicaid