Provider Demographics
NPI:1215723663
Name:HOHLBAUM, STEPHAN (LPC)
Entity type:Individual
Prefix:
First Name:STEPHAN
Middle Name:
Last Name:HOHLBAUM
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 HOMESTEAD LN
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-8818
Mailing Address - Country:US
Mailing Address - Phone:484-302-8140
Mailing Address - Fax:
Practice Address - Street 1:1201 HOMESTEAD LN
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-8818
Practice Address - Country:US
Practice Address - Phone:484-302-8140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC017859101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional