Individual
KENNETH JOHN HOPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
117202501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107011572101
IHC
UT
01
—
261747
DMBA
UT
01
—
942938348HO6
EDUCATOR'S MUTUAL
UT
Enumeration date
02/06/2006
Last updated
08/08/2012
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