Provider Demographics
NPI:1770942971
Name:HOPKINS, MARK JOHN (MS SCHOOL PSYCHOLO)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:JOHN
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:MS SCHOOL PSYCHOLO
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Mailing Address - Street 1:22756 SWEETMEADOW
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-4729
Mailing Address - Country:US
Mailing Address - Phone:661-400-1407
Mailing Address - Fax:949-716-9294
Practice Address - Street 1:22756 SWEETMEADOW
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-4729
Practice Address - Country:US
Practice Address - Phone:661-400-1407
Practice Address - Fax:949-716-9294
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-16
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA2775251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)