Organization
GABRIELLE P. HACKETT, PSY.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLE PAIGE HACKETT PSY.D. (OWNER)
(954) 812-3482
Entity
Organization
Contact information
Practice address
1575 INDIAN RIVER BLVD STE C225, VERO BEACH, FL 32960-7127
(954) 812-3482
(954) 900-1197
Mailing address
18601 TRANQUILITY BASE LN, PORT ST LUCIE, FL 34987-3236
(954) 812-3482
(954) 900-1197
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9507
FL
Other
Enumeration date
02/04/2017
Last updated
06/07/2022
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