Provider Demographics
NPI:1477281988
Name:HOBBS, ANASTASIA PATIENCE (MSCCC/SLP)
Entity Type:Individual
Prefix:
First Name:ANASTASIA
Middle Name:PATIENCE
Last Name:HOBBS
Suffix:
Gender:F
Credentials:MSCCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 SAN JACINTO ST
Mailing Address - Street 2:
Mailing Address - City:LA PORTE
Mailing Address - State:TX
Mailing Address - Zip Code:77571-5454
Mailing Address - Country:US
Mailing Address - Phone:281-604-7306
Mailing Address - Fax:281-604-7026
Practice Address - Street 1:526 SAN JACINTO ST
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:TX
Practice Address - Zip Code:77571-5454
Practice Address - Country:US
Practice Address - Phone:281-604-7306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15604235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist