Individual
DR. BRIAN CLIFFORD HOPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
106 E 3RD ST, 5B, MOSCOW, ID 83843-2970
(208) 874-2461
Mailing address
106 E 3RD ST, 5B, MOSCOW, ID 83843-2970
(208) 874-2461
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY202205
ID
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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