Provider Demographics
NPI:1710462908
Name:HOPPING, LANIE J (MA)
Entity Type:Individual
Prefix:
First Name:LANIE
Middle Name:J
Last Name:HOPPING
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:J
Other - Last Name:HOPPING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:1210 PARK HILLS DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4312
Mailing Address - Country:US
Mailing Address - Phone:502-565-4012
Mailing Address - Fax:
Practice Address - Street 1:7984 NEW LAGRANGE RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222
Practice Address - Country:US
Practice Address - Phone:502-426-2777
Practice Address - Fax:502-426-2776
Is Sole Proprietor?:No
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY171351103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist