MEDICARE: DR. ROBI LEA HOPE PSY.D.

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
1	103T00000X	Psychologist
2	103TC0700X	Clinical Psychologist	PY60818711	WA
3	103TC0700X	Clinical Psychologist	PY60818744	WA

General Provider Information

NPI Number	:	1447481320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBI LEA HOPE PSY.D.

Provider Business Mailing Address
First Line	:	9040 JACKSON AVE
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98431-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9040 JACKSON AVE
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98431-3081
Country	:	US
Telephone Number	:	541-602-8805
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2009
Last Update Date	:	05/14/2024

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