Provider Demographics
NPI:1629428909
Name:HOTOPP, DAVID BRIAN (MA, LLPC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:BRIAN
Last Name:HOTOPP
Suffix:
Gender:M
Credentials:MA, LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 EASTMAN AVE
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-6793
Mailing Address - Country:US
Mailing Address - Phone:989-631-4092
Mailing Address - Fax:989-631-4991
Practice Address - Street 1:5100 EASTMAN AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-6793
Practice Address - Country:US
Practice Address - Phone:989-631-4092
Practice Address - Fax:989-631-4991
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-16
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401015453101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional