Healthcare Provider Details

I. General information

NPI: 1124301916
Provider Name (Legal Business Name): HEATHER LOUISE HOBSON HEATHER HOBSON PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HEATHER LOUISE HOBSON HEATHER HOBSON PSYD

II. Dates (important events)

Enumeration Date: 09/28/2011
Last Update Date: 12/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 BRANNAN ST STE 401
SAN FRANCISCO CA
94103-4888
US

IV. Provider business mailing address

1000 BRANNAN ST STE 401
SAN FRANCISCO CA
94103-4888
US

V. Phone/Fax

Practice location:
  • Phone: 415-864-4655
  • Fax:
Mailing address:
  • Phone: 415-864-4655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY28278
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: