Provider Demographics
NPI:1609092840
Name:HOBBY, MICHELLE L (PHD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:L
Last Name:HOBBY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:HELLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18055-1721
Mailing Address - Country:US
Mailing Address - Phone:855-414-2523
Mailing Address - Fax:484-577-3374
Practice Address - Street 1:427 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:HELLERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18055-1721
Practice Address - Country:US
Practice Address - Phone:855-414-2523
Practice Address - Fax:484-577-3374
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS018424103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical