Provider Demographics
NPI:1598790057
Name:HOPKINS, PAUL EDWIN (DMIN)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:EDWIN
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4801 INDIAN SCHOOL RD NE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-3970
Mailing Address - Country:US
Mailing Address - Phone:505-256-1021
Mailing Address - Fax:505-268-7442
Practice Address - Street 1:4801 INDIAN SCHOOL RD NE
Practice Address - Street 2:SUITE 200
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-3970
Practice Address - Country:US
Practice Address - Phone:505-256-1021
Practice Address - Fax:505-268-7442
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0110101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor