Basic Information
| Provider Information | |||||||||
| NPI: | 1700113883 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOSKINS | ||||||||
| FirstName: | LAURA | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PSY.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2020 PEACHTREE NW RD | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303091426 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4043671387 | ||||||||
| FaxNumber: | 4043507694 | ||||||||
| Practice Location | |||||||||
| Address1: | 2020 PEACHTREE NW RD | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303091426 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4043671387 | ||||||||
| FaxNumber: | 4043507694 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/10/2009 | ||||||||
| LastUpdateDate: | 05/16/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103G00000X | 68 018375 | NY | N | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | 103TC0700X | 68 018375 | NY | N | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103TC0700X | 9432 | MA | N | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103G00000X | 9432 | MA | N | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | 103G00000X | 3768 | GA | Y | Behavioral Health & Social Service Providers | Clinical Neuropsychologist |
No ID Information.