Provider Demographics
NPI:1770761033
Name:HOPKINS, SANDRA K (PHD CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:K
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:PHD CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 STONEY FIELDS RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER CENTER
Mailing Address - State:VT
Mailing Address - Zip Code:05255-9726
Mailing Address - Country:US
Mailing Address - Phone:602-306-5222
Mailing Address - Fax:
Practice Address - Street 1:154 STONEY FIELDS RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER CENTER
Practice Address - State:VT
Practice Address - Zip Code:05255-9726
Practice Address - Country:US
Practice Address - Phone:602-306-5222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-08
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
12046101OtherASHA