Provider Demographics
NPI:1508683707
Name:HOSKIN, SAMMIYAH S
Entity type:Individual
Prefix:
First Name:SAMMIYAH
Middle Name:S
Last Name:HOSKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 MCLEAN ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48203-3310
Mailing Address - Country:US
Mailing Address - Phone:662-641-8590
Mailing Address - Fax:
Practice Address - Street 1:136 MCLEAN ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:MI
Practice Address - Zip Code:48203-3310
Practice Address - Country:US
Practice Address - Phone:662-641-8590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician