Provider Demographics
NPI:1972859148
Name:HOPWOOD, RUBEN A (PHD, LP)
Entity Type:Individual
Prefix:DR
First Name:RUBEN
Middle Name:A
Last Name:HOPWOOD
Suffix:
Gender:M
Credentials:PHD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 CAMBRIDGE ST # 410039
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02141-1207
Mailing Address - Country:US
Mailing Address - Phone:617-945-8749
Mailing Address - Fax:
Practice Address - Street 1:2 EARHART ST # 724
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02141-1940
Practice Address - Country:US
Practice Address - Phone:617-945-8749
Practice Address - Fax:617-849-5584
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-25
Last Update Date:2023-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6971103T00000X
MA10733103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
No103T00000XBehavioral Health & Social Service ProvidersPsychologist