Provider Demographics
NPI:1790344596
Name:HOPPLE, ALYCE MICHELLE (PHD, NCSP)
Entity Type:Individual
Prefix:DR
First Name:ALYCE
Middle Name:MICHELLE
Last Name:HOPPLE
Suffix:
Gender:F
Credentials:PHD, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GIBAULT CARE, INC.
Mailing Address - Street 2:6401 S. US HWY 41
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-4748
Mailing Address - Country:US
Mailing Address - Phone:812-299-1156
Mailing Address - Fax:812-299-0118
Practice Address - Street 1:GIBAULT CARE, INC.
Practice Address - Street 2:6401 S. US HWY 41
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-4748
Practice Address - Country:US
Practice Address - Phone:812-299-1156
Practice Address - Fax:812-299-0118
Is Sole Proprietor?:No
Enumeration Date:2019-06-06
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool