Provider Demographics
NPI:1962715474
Name:HOBSON, WILLIAM FREDERICK (MS LPC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:FREDERICK
Last Name:HOBSON
Suffix:
Gender:M
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 201
Mailing Address - Street 2:
Mailing Address - City:TOLLAND
Mailing Address - State:CT
Mailing Address - Zip Code:06084-0201
Mailing Address - Country:US
Mailing Address - Phone:860-654-1555
Mailing Address - Fax:860-654-1555
Practice Address - Street 1:256 MAIN ST.
Practice Address - Street 2:SUITE E
Practice Address - City:EAST WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06088-9552
Practice Address - Country:US
Practice Address - Phone:860-654-1555
Practice Address - Fax:860-654-1555
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0001317101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT240001317CT01OtherANTHEM BLUE CROSS BLUE SHIELD