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DR. CLIFFORD ALAN HOPEWELL PHD

Clinical Neuropsychologist

Fort Worth, Texas

Provider NPI: 1508863036

Provider Information:
DR. CLIFFORD ALAN HOPEWELL PHD
Gender: M
Sole Proprietor


Practice Location:
1015 PENNSYLVANIA AVE STE 2 FORT WORTH, TX 76104 US
Tel: 682-312-9820  Fax: 682-312-9821

Business Mailing Address:
1015 PENNSYLVANIA AVE STE 2 FORT WORTH, TX 76104 US
Tel: 682-312-9820  Fax: 682-312-9821

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
TX21833
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
TX30391
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
TX21833
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
TX30391

Other Provider Identifiers:

IssuerNumberStateType
131185407TX05
BCBS8EK468TX01
RAILROAD MEDICAREP01554607TX01
131185414TX05
131185416TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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