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NPI Code Detail

MEDICARE: TARA HOPPE PLPC

MEDICARE: TARA HOPPE PLPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2017029194MO

General Provider Information

NPI Number : 1396264719
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA HOPPE PLPC
Provider Business Mailing Address
First Line : 118 N 2ND ST
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-2832
Country : US
Telephone Number : 636-224-1000
Fax Number :
Provider Business Practice Location Address
First Line : 11701 W FLORISSANT AVE
Second Line :
City : FLORISSANT
State : MO
Zip : 63033-6744
Country : US
Telephone Number : 314-972-8132
Fax Number : 314-830-8565
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2017
Last Update Date : 09/18/2017

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Directions to “ TARA HOPPE PLPC” Practice Location

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