MEDICARE: DR. JULIANN HOBDY PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	31415	TX

General Provider Information

NPI Number	:	1902203391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIANN HOBDY PH.D.

Provider Business Mailing Address
First Line	:	12700 HILLCREST RD STE 176
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2075
Country	:	US
Telephone Number	:	214-208-2728
Fax Number	:

Provider Business Practice Location Address
First Line	:	12700 HILLCREST RD STE 176
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2075
Country	:	US
Telephone Number	:	214-208-2728
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2014
Last Update Date	:	12/01/2014

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