Basic Information
Provider Information
NPI: 1275591083
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHOPPER
FirstName: JULIE
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: MSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 715 HORIZON DR STE 225
Address2:  
City: GRAND JUNCTION
State: CO
PostalCode: 815068743
CountryCode: US
TelephoneNumber: 9706837131
FaxNumber:  
Practice Location
Address1: 405 CASTLE CREEK RD STE 207
Address2:  
City: ASPEN
State: CO
PostalCode: 81611
CountryCode: US
TelephoneNumber: 9709205555
FaxNumber: 9709205557
Other Information
ProviderEnumerationDate: 05/02/2006
LastUpdateDate: 07/29/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XCSW.00991461COY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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