Healthcare Provider Details

I. General information

NPI: 1891482949
Provider Name (Legal Business Name): STEVEN HOBAICA PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2023
Last Update Date: 04/19/2023
Certification Date: 04/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2163 ATHERTON RD
HONOLULU HI
96822-2195
US

IV. Provider business mailing address

2163 ATHERTON RD
HONOLULU HI
96822-2195
US

V. Phone/Fax

Practice location:
  • Phone: 623-340-5332
  • Fax:
Mailing address:
  • Phone: 623-340-5332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY--2065-0
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY.0005951
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: