MEDICARE: DR. STEPHEN JAMES HOBBS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY8813	CA

General Provider Information

NPI Number	:	1457619306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN JAMES HOBBS

Provider Business Mailing Address
First Line	:	3468 MT DIABLO BLVD
Second Line	:
City	:	LAFAYETTE
State	:	CA
Zip	:	94549-3957
Country	:	US
Telephone Number	:	925-283-2787
Fax Number	:

Provider Business Practice Location Address
First Line	:	3468 MT DIABLO BLVD STE B203
Second Line	:
City	:	LAFAYETTE
State	:	CA
Zip	:	94549-7120
Country	:	US
Telephone Number	:	925-283-2787
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2012
Last Update Date	:	04/29/2012

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