| Dr Priscilla D Hernandez Hacker, PHD | |
|
828 S Washington St Ste A, Moscow, ID 83843-3055 | |
| (208) 883-7766 | |
| (208) 883-8062 |
| Full Name | Dr Priscilla D Hernandez Hacker |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 828 S Washington St Ste A, Moscow, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063469203 | NPI | - | NPPES |
| 000010149290 | Other | ID | REGENCE BLUE SHIELD PIN |
| 380-319 | Other | WA | DSHS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY1696 (Washington) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY202196 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Priscilla D Hernandez Hacker, PHD 828 S Washington St Ste A, Moscow, ID 83843-3055 Ph: (208) 883-7766 | Dr Priscilla D Hernandez Hacker, PHD 828 S Washington St Ste A, Moscow, ID 83843-3055 Ph: (208) 883-7766 |
Dr. Nancy Sasse Sasser, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1060 Showalter Rd, Moscow, ID 83843 Phone: 208-301-0918 Fax: 208-882-1490 | |
Dr. Maria Amy Gartstein, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2301 West A St, Suite C, Moscow, ID 83843 Phone: 208-883-1144 | |
Dr. Alan J. Whitlock, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 814 S Washington St, Moscow, ID 83843 Phone: 208-883-4026 | |
Dr. Mark Francis Yama, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: Psychology And Comm Studies, University Of Idaho, Moscow, ID 83844 Phone: 208-885-7376 Fax: 208-885-7710 | |
Dr. Timothy Scott Rehnberg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2301 W A St, Suite C, Moscow, ID 83843 Phone: 208-883-1144 Fax: 208-883-8062 | |
Dr. Brian William Mcneill, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 619 S Washington, Suite 301 Brian Mcneill Phd, Moscow, ID 83843 Phone: 509-336-9045 Fax: 708-892-0681 |