Basic Information
Provider Information
NPI: 1992129225
EntityType: 2
ReplacementNPI:  
OrganizationName: RONALD F HOOPES LPC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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Mailing Information
Address1: PO BOX 2476
Address2:  
City: CHEYENNE
State: WY
PostalCode: 820032476
CountryCode: US
TelephoneNumber: 3076380300
FaxNumber: 3076380394
Practice Location
Address1: 1210 WEST BRIDGE STREET
Address2:  
City: SARATOGA
State: WY
PostalCode: 823311434
CountryCode: US
TelephoneNumber: 3077603700
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/06/2014
LastUpdateDate: 02/06/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: HOOPES
AuthorizedOfficialFirstName: RONALD
AuthorizedOfficialMiddleName: F
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 3077603700
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: LPC
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500XLPC-411WYY193400000X SINGLE SPECIALTY GROUPBehavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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