Individual
DR. RYAN CHRISTOPHER HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
235 E PONCE DE LEON AVE STE 200, DECATUR, GA 30030-3412
(404) 480-9001
Mailing address
235 E PONCE DE LEON AVE STE 200, DECATUR, GA 30030-3412
(404) 480-9001
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004613
GA
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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