Healthcare Provider Details

I. General information

NPI: 1922158930
Provider Name (Legal Business Name): ANTHONY ALLEN HOBSON PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: TONY ALLEN HOBSON

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2959 LOWER WYONCLOTTE RD
OROVILLE CA
95965
US

IV. Provider business mailing address

397 PERTHSHIRE DR
ORANGE PARK FL
32073
US

V. Phone/Fax

Practice location:
  • Phone: 530-891-2888
  • Fax:
Mailing address:
  • Phone: 904-505-9954
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: