Provider Demographics
NPI:1043320963
Name:STOOPS, DOROTHY GAIL (LMSW)
Entity type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:GAIL
Last Name:STOOPS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:DOROTHY
Other - Middle Name:GAIL
Other - Last Name:POUST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:5210 E PIMA ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-3664
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5210 E PIMA ST
Practice Address - Street 2:SUITE 200
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-3664
Practice Address - Country:US
Practice Address - Phone:520-603-5534
Practice Address - Fax:520-795-3575
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-13984104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker