Provider Demographics
NPI:1265553663
Name:PSYCHOLOGY GROUP, PLLC
Entity type:Organization
Organization Name:PSYCHOLOGY GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:HOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:270-889-9200
Mailing Address - Street 1:1910 S VIRGINIA ST STE 200
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-6009
Mailing Address - Country:US
Mailing Address - Phone:270-889-9200
Mailing Address - Fax:270-889-9911
Practice Address - Street 1:1910 S VIRGINIA ST STE 200
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-6009
Practice Address - Country:US
Practice Address - Phone:270-889-9200
Practice Address - Fax:270-889-9911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYS85545Medicare UPIN
KY6955Medicare UPIN