Provider Demographics
NPI:1699897694
Name:HOPKO, DAYNA LEANNE (MA)
Entity type:Individual
Prefix:MISS
First Name:DAYNA
Middle Name:LEANNE
Last Name:HOPKO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4021 VERNON AVE S
Mailing Address - Street 2:SUITE 214
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-2801
Mailing Address - Country:US
Mailing Address - Phone:952-457-1900
Mailing Address - Fax:952-938-6430
Practice Address - Street 1:4021 VERNON AVE S
Practice Address - Street 2:SUITE 214
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-2801
Practice Address - Country:US
Practice Address - Phone:952-457-1900
Practice Address - Fax:952-938-6430
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2015-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC00040101YP2500X
MN1398106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional