Provider Demographics
NPI:1518354877
Name:HOBSON, KRISTIN LOUISE
Entity Type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:LOUISE
Last Name:HOBSON
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:KRISTIN
Other - Middle Name:LOUISE
Other - Last Name:HOBSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2714 PRIMROSE LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-8897
Mailing Address - Country:US
Mailing Address - Phone:443-655-5257
Mailing Address - Fax:
Practice Address - Street 1:441 E MARKET ST STE 5102
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-1618
Practice Address - Country:US
Practice Address - Phone:717-429-6828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-23
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA390200000X
101YP2500X, 222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist