Hopebridge, LLC
Psychiatry & Neurology, Child & Adolescent Psychiatry in Tucson, AZ. Organization (NPI-2).
NPI number1114587110
StatusActive
Last updated in NPPESJun 20, 2019
Details
- NPI
- 1114587110
- Entity type
- Organization (NPI-2)
- Legal business name
- Hopebridge, LLC
- Organization subpart
- Yes
- Enumeration date
- Jun 20, 2019
- Last updated
- Jun 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 103T00000X | Psychologist | – | – | |
| 103TC0700X | Psychologist, Clinical | – | – | |
| 106E00000X | Assistant Behavior Analyst | – | – | |
| 106S00000X | Behavior Technician | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – | |
| 225X00000X | Occupational Therapist | – | – |
Practice location
9302 E 22nd StTucson, AZ 85710-7342
Phone 855-324-0885
Mailing address
3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135
Authorized official
Angie Graff
Insurance & Credentialing Manager
3173768336
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