Healthcare Provider Details

I. General information

NPI: 1205848215
Provider Name (Legal Business Name): SHARON R HOBBS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 06/06/2023
Certification Date: 06/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 W GRAND RIVER AVE
EAST LANSING MI
48823-4201
US

IV. Provider business mailing address

425 W GRAND RIVER AVE
EAST LANSING MI
48823-4201
US

V. Phone/Fax

Practice location:
  • Phone: 517-719-2966
  • Fax: 517-351-2733
Mailing address:
  • Phone: 517-719-2966
  • Fax: 517-351-2733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6301006000
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: