| Doctor Name: | MELVIN HOBERMAN |
| NPI Number: | 1497812523 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA,LLP,CSW,CAC 1 |
| License Number: | 6301002903 |
| Business Practice Address: | 6394 Rose Blvd W Bloomfield, MI - 483222290 |
| Business Phone Number: | 2485393228 |
| Business Fax Number: | |
| Mailing Address: | 6394 Rose Blvd, W BLOOMFIELD |
| State: | MI |
| Postal Code: | 483222290 |
| Phone Number: | 2485393228 |
| Fax Number: | |
| NPI Enumeration Date: | 01/01/2007 |
| NPI Last Update Date: | 03/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TP2701X |
| License Number: | 6301002903 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Group Psychotherapy |
| Taxonomy Definition: | |