Doctor Name: | MS. JOANNA L HOBAN |
NPI Number: | 1144473844 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 2130798 |
Business Practice Address: | 90 Air Park Dr Ronkonkoma, NY - 117797360 |
Business Phone Number: | 6315804029 |
Business Fax Number: | |
Mailing Address: | 90 Air Park Dr, RONKONKOMA |
State: | NY |
Postal Code: | 117797360 |
Phone Number: | 6315804029 |
Fax Number: | |
NPI Enumeration Date: | 10/28/2008 |
NPI Last Update Date: | 10/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 2130798 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |