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JOHN TERRANCE HACKETT M.D.
Rehabilitation >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1346687605
Individual Registrant: JOHN TERRANCE HACKETT M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
9226 HINTON AVE DELHI, CA 95315-8200 US
Tel: 209-667-9304 Fax: 209-669-3978
Tel: 209-667-9304 Fax: 209-669-3978
Contact information for business:
PO BOX 339 JOHN TERRANCE HACKETT MD DELHI, CA 95340 US
Tel: 209-667-9304 Fax: 209-669-3978
Tel: 209-667-9304 Fax: 209-669-3978
Registration Information:
NPI: 1346687605
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TR0400X | Behavioral Health & Social Service Providers Psychologist Rehabilitation | CA | A23729 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
