Provider Demographics
NPI:1831502418
Name:HOPKINS-SCOTT, LISA
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:
Last Name:HOPKINS-SCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8340 75TH PL
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33777-4424
Mailing Address - Country:US
Mailing Address - Phone:727-723-5953
Mailing Address - Fax:
Practice Address - Street 1:8340 75TH PL
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33777-4424
Practice Address - Country:US
Practice Address - Phone:727-723-5953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-11
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician