Healthcare Provider Details
I. General information
NPI: 1255113833
Provider Name (Legal Business Name): FRANCIS HOBAN MFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/18/2023
Last Update Date: 10/18/2023
Certification Date: 10/13/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
50 S 16TH ST STE 1700
PHILADELPHIA PA
19102-2516
US
IV. Provider business mailing address
1820 SOUTH ST UNIT A
PHILADELPHIA PA
19146-1891
US
V. Phone/Fax
- Phone: 267-536-2001
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: