Healthcare Provider Details

I. General information

NPI: 1669568960
Provider Name (Legal Business Name): DAVID CANTER HOPKINS PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 10/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 N WEBER ST
COLORADO SPRINGS CO
80903-2921
US

IV. Provider business mailing address

1372 LINDENWOOD GRV
COLORADO SPRINGS CO
80907-7605
US

V. Phone/Fax

Practice location:
  • Phone: 719-314-7773
  • Fax: 719-636-8989
Mailing address:
  • Phone: 719-314-7773
  • Fax: 719-636-8989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License NumberCO2290
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberCO2290
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: