Healthcare Provider Details

I. General information

NPI: 1447533781
Provider Name (Legal Business Name): MORRIS V HOBB MA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2011
Last Update Date: 09/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5509 BELLAIRE AVE
VALLEY VILLAGE CA
91607-1532
US

IV. Provider business mailing address

5509 BELLAIRE AVE
VALLEY VILLAGE CA
91607-1532
US

V. Phone/Fax

Practice location:
  • Phone: 818-277-2569
  • Fax:
Mailing address:
  • Phone: 818-277-2569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number27244
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: