Healthcare Provider Details

I. General information

NPI: 1992793301
Provider Name (Legal Business Name): STEVEN A HOBBS PHD, MFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 LAUREL ST 224B
SAN CARLOS CA
94070-5044
US

IV. Provider business mailing address

1313 LAUREL ST 224B
SAN CARLOS CA
94070-5044
US

V. Phone/Fax

Practice location:
  • Phone: 650-494-0455
  • Fax: 650-595-0422
Mailing address:
  • Phone: 650-595-0455
  • Fax: 650-595-0422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPSY12645
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: