Healthcare Provider Details

I. General information

NPI: 1720018112
Provider Name (Legal Business Name): YOLANDA LYNNE HOBBS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 01/13/2020
Certification Date: 01/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13419 W GABLE HILL DR
SUN CITY WEST AZ
85375-2524
US

IV. Provider business mailing address

13419 W GABLE HILL DR
SUN CITY WEST AZ
85375-2524
US

V. Phone/Fax

Practice location:
  • Phone: 573-588-7724
  • Fax:
Mailing address:
  • Phone: 573-855-7724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY-005192
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: