Provider Demographics
NPI:1508631680
Name:HOBLIT, LEAH ANN (MASTERS, TEACH CERT)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:ANN
Last Name:HOBLIT
Suffix:
Gender:F
Credentials:MASTERS, TEACH CERT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3175 QUIVERA RIVER RD
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82604-5455
Mailing Address - Country:US
Mailing Address - Phone:307-250-1237
Mailing Address - Fax:
Practice Address - Street 1:3175 QUIVERA RIVER RD
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82604-5455
Practice Address - Country:US
Practice Address - Phone:307-250-1237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-20
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty