Provider Demographics
NPI:1336622083
Name:HOBBINS, SIERRA SUZANN (SLP-CFY)
Entity Type:Individual
Prefix:
First Name:SIERRA
Middle Name:SUZANN
Last Name:HOBBINS
Suffix:
Gender:F
Credentials:SLP-CFY
Other - Prefix:
Other - First Name:SIERRA
Other - Middle Name:SUZANN
Other - Last Name:HOBBINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SLP-CFY
Mailing Address - Street 1:800 BROADWAY APT 202
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79401-3425
Mailing Address - Country:US
Mailing Address - Phone:210-380-7664
Mailing Address - Fax:
Practice Address - Street 1:210 WEST AVE
Practice Address - Street 2:
Practice Address - City:LEVELLAND
Practice Address - State:TX
Practice Address - Zip Code:79336-3233
Practice Address - Country:US
Practice Address - Phone:806-894-5053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114819235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist