Provider Demographics
NPI:1780717678
Name:HOBBS, CAROLYN MARY (MA PSYCHOLOGY LMFT)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:MARY
Last Name:HOBBS
Suffix:
Gender:F
Credentials:MA PSYCHOLOGY LMFT
Other - Prefix:MS
Other - First Name:CAROLYN
Other - Middle Name:MARY
Other - Last Name:JOHNSON HOBBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS DEGREE
Mailing Address - Street 1:18 OAK DRIVE
Mailing Address - Street 2:D W II
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301
Mailing Address - Country:US
Mailing Address - Phone:970-259-3537
Mailing Address - Fax:970-259-3537
Practice Address - Street 1:18 OAK DRIVE
Practice Address - Street 2:DURANGO WEST II
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301
Practice Address - Country:US
Practice Address - Phone:970-259-3537
Practice Address - Fax:970-259-3537
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO190106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist