Healthcare Provider Details

I. General information

NPI: 1316349970
Provider Name (Legal Business Name): ROBERT PETER HOBSON PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2014
Last Update Date: 08/20/2023
Certification Date: 08/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2455 BENNETT VALLEY RD STE B208
SANTA ROSA CA
95404-5667
US

IV. Provider business mailing address

3411 MONTGOMERY DR
SANTA ROSA CA
95405-5146
US

V. Phone/Fax

Practice location:
  • Phone: 707-396-8697
  • Fax:
Mailing address:
  • Phone: 707-843-3720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberRP241
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: