Provider Demographics
NPI:1427652106
Name:HOPKINS, BRIDGETT (T-LMAC)
Entity type:Individual
Prefix:
First Name:BRIDGETT
Middle Name:
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:T-LMAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 S HOLLAND LN
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67209-2007
Mailing Address - Country:US
Mailing Address - Phone:316-796-5780
Mailing Address - Fax:
Practice Address - Street 1:551 S HOLLAND LN
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67209-2007
Practice Address - Country:US
Practice Address - Phone:316-796-5780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)