Provider Demographics
NPI:1821703612
Name:HOPE THERAPY, P.C.
Entity Type:Organization
Organization Name:HOPE THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:HAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LP, HSP
Authorized Official - Phone:319-535-3040
Mailing Address - Street 1:302 E 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:LISBON
Mailing Address - State:IA
Mailing Address - Zip Code:52253-9788
Mailing Address - Country:US
Mailing Address - Phone:714-661-9683
Mailing Address - Fax:
Practice Address - Street 1:101 1/2 1ST ST NW STE 3
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:IA
Practice Address - Zip Code:52314-1602
Practice Address - Country:US
Practice Address - Phone:319-535-3040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-17
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensicGroup - Single Specialty