Provider Demographics
NPI:1467843847
Name:HOSBEIN, SUSANNAH (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:SUSANNAH
Middle Name:
Last Name:HOSBEIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1891 E ROSEVILLE PKWY
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-7973
Mailing Address - Country:US
Mailing Address - Phone:916-740-5729
Mailing Address - Fax:
Practice Address - Street 1:7989 ALPINE VIEW DR
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95747-6759
Practice Address - Country:US
Practice Address - Phone:916-740-5729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-06
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39171106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist