Provider Demographics
NPI:1164230801
Name:DOKOPOULOS, STEFANOS
Entity type:Individual
Prefix:
First Name:STEFANOS
Middle Name:
Last Name:DOKOPOULOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 EAST ST APT 2
Mailing Address - Street 2:
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938-2272
Mailing Address - Country:US
Mailing Address - Phone:978-806-5220
Mailing Address - Fax:
Practice Address - Street 1:100 CUMMINGS CTR STE 214E
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6113
Practice Address - Country:US
Practice Address - Phone:978-524-4889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health