Provider Demographics
NPI:1053843532
Name:HOSKINS, WARREN EUGENE II (LPA)
Entity Type:Individual
Prefix:
First Name:WARREN
Middle Name:EUGENE
Last Name:HOSKINS
Suffix:II
Gender:M
Credentials:LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3379 TARLETON W
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-5404
Mailing Address - Country:US
Mailing Address - Phone:704-369-1771
Mailing Address - Fax:
Practice Address - Street 1:2530 MERIDIAN PKWY # 3104
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-5272
Practice Address - Country:US
Practice Address - Phone:984-400-4823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5111103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist