Provider Demographics
NPI:1285082172
Name:HOPKINS, MAURICE (MS, DD)
Entity type:Individual
Prefix:MR
First Name:MAURICE
Middle Name:
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:MS, DD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2314 E HUNTINGDON ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125-2313
Mailing Address - Country:US
Mailing Address - Phone:267-767-8584
Mailing Address - Fax:
Practice Address - Street 1:2314 E. HUNTINGDON ST.
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19125-2313
Practice Address - Country:US
Practice Address - Phone:267-767-8584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-01
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH0000576103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst