Individual
DR. SHANNON HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12 N CHEYENNE AVE, BOX 042, TULSA, OK 74103-2215
(206) 445-0604
(206) 602-3836
Mailing address
12 N CHEYENNE AVE, BOX 042, TULSA, OK 74103-2215
(206) 445-0604
(206) 602-3836
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY60604139
WA
Other
Enumeration date
08/16/2010
Last updated
01/23/2025
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