Provider Demographics
NPI:1205848215
Name:HOBBS, SHARON R (PHD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:R
Last Name:HOBBS
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 1:425 W GRAND RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-4201
Mailing Address - Country:US
Mailing Address - Phone:517-719-2966
Mailing Address - Fax:517-351-2733
Practice Address - Street 1:425 W GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-4201
Practice Address - Country:US
Practice Address - Phone:517-719-2966
Practice Address - Fax:517-351-2733
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301006000103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist