Individual
DR. GARY R HACKNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7701 E KELLOGG DR, STE 840, WICHITA, KS 67207-1706
(316) 683-8668
(316) 683-4587
Mailing address
7701 E KELLOGG DR, SUITE 640, WICHITA, KS 67207-1706
(316) 683-8668
(316) 683-4587
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0375
KS
Other
Enumeration date
09/26/2006
Last updated
11/13/2018
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