Provider Demographics
NPI:1205692837
Name:HOPF, ROSLYN BETH BINFORD (PHD, LP)
Entity type:Individual
Prefix:DR
First Name:ROSLYN
Middle Name:BETH BINFORD
Last Name:HOPF
Suffix:
Gender:F
Credentials:PHD, LP
Other - Prefix:DR
Other - First Name:ROSLYN
Other - Middle Name:BETH
Other - Last Name:BINFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, LP
Mailing Address - Street 1:5101 OLSON MEMORIAL HWY
Mailing Address - Street 2:STE 4009
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-5164
Mailing Address - Country:US
Mailing Address - Phone:763-595-7294
Mailing Address - Fax:763-595-7293
Practice Address - Street 1:5101 OLSON MEMORIAL HWY
Practice Address - Street 2:STE 4009
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55422-5164
Practice Address - Country:US
Practice Address - Phone:763-595-7294
Practice Address - Fax:763-595-7293
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.006878103TC0700X
MNLP7015103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical