Organization
HACKETT PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON HACKETT PH.D. (OWNER)
(206) 445-0604
Entity
Organization
Contact information
Practice address
12 N CHEYENNE AVE, TULSA, OK 74103-2215
(206) 445-0604
(206) 602-3836
Mailing address
12 N CHEYENNE AVE, BOX 042, TULSA, OK 74103
(206) 445-0604
(206) 602-3836
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PY60604139
WA
Other
Enumeration date
02/08/2016
Last updated
01/23/2025
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