Provider Demographics
NPI:1255158309
Name:POPE, DAVID HYATT JR (PA)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:HYATT
Last Name:POPE
Suffix:JR
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 WHISPERING PINES RD LOT C14
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-4373
Mailing Address - Country:US
Mailing Address - Phone:828-779-9976
Mailing Address - Fax:
Practice Address - Street 1:1105 WHISPERING PINES RD LOT C14
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-4373
Practice Address - Country:US
Practice Address - Phone:828-779-9976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No1744R1102XOther Service ProvidersSpecialistResearch Study