Provider Demographics
NPI:1881380780
Name:HOBBS, ALLYSON NICOLE (EDS)
Entity type:Individual
Prefix:MRS
First Name:ALLYSON
Middle Name:NICOLE
Last Name:HOBBS
Suffix:
Gender:F
Credentials:EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 N 26TH ST
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-2748
Mailing Address - Country:US
Mailing Address - Phone:816-671-4004
Mailing Address - Fax:
Practice Address - Street 1:1415 N 26TH ST
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-2748
Practice Address - Country:US
Practice Address - Phone:816-671-4004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO730699103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool