Healthcare Provider Details
I. General information
NPI: 1588507917
Provider Name (Legal Business Name): SHYKEL T HOBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/10/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11651 NORBOURNE DR
CINCINNATI OH
45240-2100
US
IV. Provider business mailing address
11651 NORBOURNE DR
CINCINNATI OH
45240-2100
US
V. Phone/Fax
- Phone: 513-383-8018
- Fax:
- Phone: 513-383-8018
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TH0100X |
| Taxonomy | Health Service Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: