Provider Demographics
NPI:1336723667
Name:HOPKINS-ROSSABI, THERESA (PHD, CCC-SLP, BCS-S)
Entity type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:
Last Name:HOPKINS-ROSSABI
Suffix:
Gender:F
Credentials:PHD, CCC-SLP, BCS-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 SALEM TOWNE CT
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-2311
Mailing Address - Country:US
Mailing Address - Phone:919-342-4613
Mailing Address - Fax:
Practice Address - Street 1:130 SALEM TOWNE CT
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-2311
Practice Address - Country:US
Practice Address - Phone:919-342-5778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6518235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist