Provider Demographics
NPI:1922336882
Name:HOPEWELL, LINDSAY M (MSCCCSP 16078)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:M
Last Name:HOPEWELL
Suffix:
Gender:F
Credentials:MSCCCSP 16078
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 MILLICH DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-0550
Mailing Address - Country:US
Mailing Address - Phone:562-716-1394
Mailing Address - Fax:408-770-3423
Practice Address - Street 1:595 MILLICH DR
Practice Address - Street 2:SUITE 105
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-0550
Practice Address - Country:US
Practice Address - Phone:562-716-1394
Practice Address - Fax:408-770-3423
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-03
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP16078235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist