Healthcare Provider Details

I. General information

NPI: 1053883025
Provider Name (Legal Business Name): LINDSEY BROOKE HOPKINS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2018
Last Update Date: 12/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

287 17TH ST STE A
OAKLAND CA
94612-4191
US

IV. Provider business mailing address

287 17TH ST STE A
OAKLAND CA
94612-4191
US

V. Phone/Fax

Practice location:
  • Phone: 510-457-1795
  • Fax:
Mailing address:
  • Phone: 510-457-1795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number30624
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number30624
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: