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Individual

DR. MELISSA T HOPPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
8100 E 22ND ST N, BUILDING 800, SUITE 100, WICHITA, KS 67226-2388
(316) 683-4083
(316) 689-8431
Mailing address
8100 E 22ND ST N, BUILDING 800, SUITE 100, WICHITA, KS 67226-2388
(316) 683-4083
(316) 689-8431

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1197
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106494
BC/BS
KS
05
200252940A
KS
Enumeration date
05/01/2006
Last updated
07/25/2011
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