Individual
HOLLIS W HACKMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1898 FORT RD, SHERIDAN, WY 82801-8320
(307) 672-1638
Mailing address
5 WILD ROSE LN, SHERIDAN, WY 82801-8639
(307) 672-1638
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
181
WY
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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