Provider Demographics
NPI:1104149517
Name:HAYES, BOBBIE JO (MSW)
Entity type:Individual
Prefix:
First Name:BOBBIE
Middle Name:JO
Last Name:HAYES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8091 RANDOLPH ST
Mailing Address - Street 2:
Mailing Address - City:HOBART
Mailing Address - State:IN
Mailing Address - Zip Code:46342-7068
Mailing Address - Country:US
Mailing Address - Phone:219-942-5590
Mailing Address - Fax:815-301-8797
Practice Address - Street 1:8091 RANDOLPH ST
Practice Address - Street 2:
Practice Address - City:HOBART
Practice Address - State:IN
Practice Address - Zip Code:46342-7068
Practice Address - Country:US
Practice Address - Phone:219-942-5590
Practice Address - Fax:815-301-8797
Is Sole Proprietor?:No
Enumeration Date:2010-03-12
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical