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JOHN TERRANCE HACKETT M.D.

Rehabilitation >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1346687605

Individual Registrant:
 JOHN TERRANCE HACKETT M.D.
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

Contact information for business:
PO BOX 339 JOHN TERRANCE HACKETT MD DELHI, CA 95340 US
Tel: 209-667-9304  Fax: 209-669-3978

Registration Information:
NPI: 1346687605
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TR0400XBehavioral Health & Social Service Providers
Psychologist
Rehabilitation
CAA23729

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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