Provider Demographics
NPI:1992890768
Name:HOBSON, SANDRA MARY (AUD)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:MARY
Last Name:HOBSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3839 MERLE HAY RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50310-1307
Mailing Address - Country:US
Mailing Address - Phone:515-278-2413
Mailing Address - Fax:515-278-2413
Practice Address - Street 1:3839 MERLE HAY RD
Practice Address - Street 2:SUITE 200
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310-1307
Practice Address - Country:US
Practice Address - Phone:515-278-2413
Practice Address - Fax:515-278-2413
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA32231HA2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0046060Medicaid
IA53188Medicare ID - Type UnspecifiedAUDIOLOGIST