Provider Demographics
NPI:1841401023
Name:HOOPES, GWENDOLYN FIREK
Entity Type:Individual
Prefix:MRS
First Name:GWENDOLYN
Middle Name:FIREK
Last Name:HOOPES
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 1:505 LANNY DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2909
Mailing Address - Country:US
Mailing Address - Phone:540-662-4817
Mailing Address - Fax:540-662-0077
Practice Address - Street 1:21 S KENT ST
Practice Address - Street 2:SUITE B-2
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-5049
Practice Address - Country:US
Practice Address - Phone:550-665-1970
Practice Address - Fax:540-662-0077
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0803000052103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool