Healthcare Provider Details

I. General information

NPI: 1306776307
Provider Name (Legal Business Name): ALEXIS HOPPE
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 POLK ST
STEVENS POINT WI
54481-5876
US

IV. Provider business mailing address

1900 POLK ST
STEVENS POINT WI
54481-5875
US

V. Phone/Fax

Practice location:
  • Phone: 715-345-5659
  • Fax:
Mailing address:
  • Phone: 715-345-5659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: