Healthcare Provider Details

I. General information

NPI: 1013034966
Provider Name (Legal Business Name): ELIZABETH HOBSON MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BESS HOBSON MFT

II. Dates (important events)

Enumeration Date: 03/24/2007
Last Update Date: 06/30/2021
Certification Date: 06/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5654 OAKDALE AVE
WOODLAND HILLS CA
91367-6921
US

IV. Provider business mailing address

5654 OAKDALE AVE
WOODLAND HILLS CA
91367-6921
US

V. Phone/Fax

Practice location:
  • Phone: 818-585-5708
  • Fax:
Mailing address:
  • Phone: 818-585-5708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number43708
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: