Provider Demographics
NPI:1548963614
Name:HOBBS-MATTSON, KELSEY ANN (PHD)
Entity type:Individual
Prefix:DR
First Name:KELSEY
Middle Name:ANN
Last Name:HOBBS-MATTSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 27TH AVE SE APT D
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-2758
Mailing Address - Country:US
Mailing Address - Phone:586-383-1268
Mailing Address - Fax:
Practice Address - Street 1:18 CLAREMONT AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-5812
Practice Address - Country:US
Practice Address - Phone:617-855-3123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-27
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program