Healthcare Provider Details

I. General information

NPI: 1700113883
Provider Name (Legal Business Name): LAURA LEE HOSKINS PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2009
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1123 CLAIRMONT RD
DECATUR GA
30030-1228
US

IV. Provider business mailing address

2304 HOSEA L WILLIAMS DR NE
ATLANTA GA
30317-2750
US

V. Phone/Fax

Practice location:
  • Phone: 404-981-5354
  • Fax:
Mailing address:
  • Phone: 404-981-5354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number9432
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number68 018375
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number68 018375
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number9432
License Number StateMA
# 5
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number3768
License Number StateGA
# 6
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY003768
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: