Healthcare Provider Details

I. General information

NPI: 1962621235
Provider Name (Legal Business Name): JULIE HOBBS MA,CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 E NORTH AVE SUITE 402
PITTSBURGH PA
15212-4746
US

IV. Provider business mailing address

420 E NORTH AVE SUITE 402
PITTSBURGH PA
15212-4746
US

V. Phone/Fax

Practice location:
  • Phone: 412-359-3461
  • Fax: 412-321-4207
Mailing address:
  • Phone: 412-359-3461
  • Fax: 412-321-4207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAT000362
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: