| Hackett Psychology, Pllc | |
|
12 N Cheyenne Ave Tulsa OK 74103-2215 | |
| (206) 445-0604 | |
| (206) 602-3836 |
| Full Name | Hackett Psychology, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12 N Cheyenne Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Shannon Hackett (OWNER) |
| Authorized Official Contact | 2064450604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hackett Psychology, Pllc 12 N Cheyenne Ave Box 042 Tulsa OK 74103 Ph: (206) 445-0604 | Hackett Psychology, Pllc 12 N Cheyenne Ave Tulsa OK 74103-2215 Ph: (206) 445-0604 |
| NPI Number | 1861850604 |
|---|---|
| Provider Enumeration Date | 02/08/2016 |
| Last Update Date | 01/23/2025 |
| Certification Date | 01/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861850604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PY60604139 (Washington) | Primary |
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