Hopebridge LLC
Psychiatry & Neurology, Child & Adolescent Psychiatry in Tucson, AZ. Organization (NPI-2).
NPI number1669058079
StatusActive
Last updated in NPPESMar 25, 2021
Details
- NPI
- 1669058079
- Entity type
- Organization (NPI-2)
- Legal business name
- Hopebridge LLC
- Organization subpart
- Yes
- Enumeration date
- Mar 24, 2021
- Certification date
- Mar 25, 2021
- Last updated
- Mar 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 103T00000X | Psychologist | – | – | |
| 103TC0700X | Psychologist, Clinical | – | – | |
| 103TH0100X | Psychologist, Health Service | – | – | |
| 106E00000X | Assistant Behavior Analyst | – | – | |
| 106S00000X | Behavior Technician | – | – | |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
2001 W Orange Grove Rd Ste 500Tucson, AZ 85704-1141
Phone 520-277-2190
Mailing address
3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135
Authorized official
Angie Graff
Contracting & Credentialing Manager
3173768336
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