Healthcare Provider Details

I. General information

NPI: 1730441957
Provider Name (Legal Business Name): STEPHANIE HOPKINS M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2012
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3455 153RD ST W
ROSEMOUNT MN
55068-4946
US

IV. Provider business mailing address

3746 WINDTREE DR
SAINT PAUL MN
55123-1324
US

V. Phone/Fax

Practice location:
  • Phone: 952-388-1943
  • Fax:
Mailing address:
  • Phone: 612-709-1614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number8960
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: