Provider Demographics
NPI:1740341122
Name:HOPPE, CARL F (PHD)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:F
Last Name:HOPPE
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 1:360 NORTH BEDFORD DRIVE
Mailing Address - Street 2:#215
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210
Mailing Address - Country:US
Mailing Address - Phone:310-550-0314
Mailing Address - Fax:310-276-4825
Practice Address - Street 1:360 NORTH BEDFORD DRIVE
Practice Address - Street 2:#215
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210
Practice Address - Country:US
Practice Address - Phone:310-550-0314
Practice Address - Fax:310-276-4825
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 4070103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist