Basic Information
Provider Information
NPI: 1841431442
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DOPSON
FirstName: NATALIE
MiddleName: E.
NamePrefix: MS.
NameSuffix:  
Credential: ED. S.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 528 CRIMSON LN
Address2:  
City: WINTER SPRINGS
State: FL
PostalCode: 327087114
CountryCode: US
TelephoneNumber: 3219609069
FaxNumber:  
Practice Location
Address1: 2479 ALOMA AVE
Address2: KINDER KONSULTING & PARENTS TOO
City: WINTER PARK
State: FL
PostalCode: 327922541
CountryCode: US
TelephoneNumber: 4076576692
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/12/2009
LastUpdateDate: 03/12/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103K00000X0-05-1754FLY Behavioral Health & Social Service ProvidersBehavioral Analyst 

No ID Information.


Home