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NPI Code Detail

MEDICARE: DR. CATALINA J HOOPER PHD, LP

MEDICARE: DR. CATALINA J HOOPER PHD, LP
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
1103G00000XClinical NeuropsychologistLP6245MN

General Provider Information

NPI Number : 1417104332
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CATALINA J HOOPER PHD, LP
Provider Business Mailing Address
First Line : 4225 GOLDEN VALLEY RD
Second Line :
City : GOLDEN VALLEY
State : MN
Zip : 55422-4215
Country : US
Telephone Number : 763-588-0661
Fax Number :
Provider Business Practice Location Address
First Line : 4225 GOLDEN VALLEY RD
Second Line :
City : GOLDEN VALLEY
State : MN
Zip : 55422-4215
Country : US
Telephone Number : 763-588-0661
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2008
Last Update Date : 03/09/2026

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