Doctor Name: | GREGORY ALLEN HOBSON |
NPI Number: | 1003812900 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | 39001546A |
Business Practice Address: | 5233 S 50 E Wabash, IN - 469928011 |
Business Phone Number: | 2605631158 |
Business Fax Number: | 2605638975 |
Mailing Address: | 5233 S 50 E, WABASH |
State: | IN |
Postal Code: | 469928011 |
Phone Number: | 2605631158 |
Fax Number: | 2605638975 |
NPI Enumeration Date: | 06/24/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 39001546A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |