Provider Demographics
NPI:1174981849
Name:HOPKINS, DIANNA
Entity type:Individual
Prefix:
First Name:DIANNA
Middle Name:
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DIANNA
Other - Middle Name:
Other - Last Name:VERLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HIS
Mailing Address - Street 1:89 54TH ST SW
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49548-5503
Mailing Address - Country:US
Mailing Address - Phone:616-530-8883
Mailing Address - Fax:616-530-8997
Practice Address - Street 1:89 54TH ST SW
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49548-5503
Practice Address - Country:US
Practice Address - Phone:616-530-8883
Practice Address - Fax:616-530-8997
Is Sole Proprietor?:No
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501006357237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist