Provider Demographics
NPI:1316349970
Name:HOBSON, ROBERT PETER (PHD)
Entity type:Individual
Prefix:PROF
First Name:ROBERT
Middle Name:PETER
Last Name:HOBSON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3411 MONTGOMERY DR
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95405-5146
Mailing Address - Country:US
Mailing Address - Phone:707-843-3720
Mailing Address - Fax:
Practice Address - Street 1:2455 BENNETT VALLEY RD STE B208
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-5667
Practice Address - Country:US
Practice Address - Phone:707-396-8697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-25
Last Update Date:2023-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARP241102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARP241OtherRESEARCH PSYCHOANALYST CALIFORNIA MEDICAL BOARD