Provider Demographics
NPI:1871068700
Name:HOPPE, MERIS (CCC-SLP)
Entity type:Individual
Prefix:
First Name:MERIS
Middle Name:
Last Name:HOPPE
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 FIELD BROOK CT
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-5330
Mailing Address - Country:US
Mailing Address - Phone:608-886-7050
Mailing Address - Fax:
Practice Address - Street 1:201 FIELD BROOK CT
Practice Address - Street 2:
Practice Address - City:GIBSONIA
Practice Address - State:PA
Practice Address - Zip Code:15044-5330
Practice Address - Country:US
Practice Address - Phone:608-886-7050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-08
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101002718235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI7101002718OtherMI BOARD OF SPEECH LANGUAGE PATHOLOGY, SLP LICENSE
12137351OtherASHA CERTIFICATE OF CLINICAL COMPETENCE