Provider Demographics
NPI:1740313519
Name:HOPF, THEODORE SAXTON (PHD)
Entity type:Individual
Prefix:DR
First Name:THEODORE
Middle Name:SAXTON
Last Name:HOPF
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 37
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:WA
Mailing Address - Zip Code:99020-0037
Mailing Address - Country:US
Mailing Address - Phone:509-455-9888
Mailing Address - Fax:509-448-2057
Practice Address - Street 1:421 W RIVERSIDE
Practice Address - Street 2:SUITE 602
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0409
Practice Address - Country:US
Practice Address - Phone:509-455-9888
Practice Address - Fax:509-448-2057
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00006694101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health