Healthcare Provider Details

I. General information

NPI: 1700403300
Provider Name (Legal Business Name): ISABEL HOTOP M.S., CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2020
Last Update Date: 06/30/2020
Certification Date: 06/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 HWY 28
OWENSVILLE MO
65066
US

IV. Provider business mailing address

1104 GUTENBERG ST
HERMANN MO
65041-1436
US

V. Phone/Fax

Practice location:
  • Phone: 573-437-6877
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: