Provider Demographics
NPI:1609001064
Name:HOPKINS, KATIE GRAVEL (MA, CCC-A)
Entity Type:Individual
Prefix:MS
First Name:KATIE
Middle Name:GRAVEL
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6624 FANNIN ST STE 1500
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2327
Mailing Address - Country:US
Mailing Address - Phone:713-790-1321
Mailing Address - Fax:713-490-5961
Practice Address - Street 1:6624 FANNIN ST STE 1500
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2327
Practice Address - Country:US
Practice Address - Phone:713-790-1321
Practice Address - Fax:713-490-5961
Is Sole Proprietor?:No
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51729237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter