Bruce Patrick Hackworth in Saint Joseph - Psychologist
Bruce Patrick Hackworth - NPI 1063448918
Bruce Patrick Hackworth is a Psychologist in Saint Joseph, Michigan. Bruce Patrick Hackworth practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Bruce Patrick Hackworth is 1063448918. The last update date is 2016-01-01.
Bruce Patrick Hackworth's current location address is 811 Ship St, Saint Joseph, Michigan. You can contact this provider via phone number 2699853618 and fax number 2696096009. The mailing address for Bruce Patrick Hackworth is 811 Ship St, Saint Joseph, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Patrick Hackworth |
|---|---|
| Address | 811 Ship St, Saint Joseph, Michigan |
| Phone Number | 2699853618 |
| Fax Number | 2696096009 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1063448918 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2016-01-01 |
Provider Mailing Address Detail
| Address | 811 Ship St |
|---|---|
| City | Saint Joseph |
| State | Michigan (MI) |
| Post Code | 490851171 |
| Phone Number | 2699853618 |
| Fax Number | 2696096009 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 6801018724 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1716175 | MI | -- | |
| 1699155226 | MI | LIGHTHOUSE BEHAVIORAL HEALTH P |
Post Comment/ Review Below
What is the unique provider identifier assigned to Bruce Patrick Hackworth?
The Bruce Patrick Hackworth has been issued the NPI (National Provider Identifier) 1063448918 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Bruce Patrick Hackworth's facilities are situated?
The facilities of Bruce Patrick Hackworth are physically located at the following address: 811 Ship St, Saint Joseph, MI, 490851171.
What is Bruce Patrick Hackworth's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bruce Patrick Hackworth is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063448918 to Bruce Patrick Hackworth?
The Centers for Medicare & Medicaid Services originally issued the 1063448918 to Bruce Patrick Hackworth on 2006-06-23.
When was the information pertaining to Bruce Patrick Hackworth most recently updated or revised?
The details related to Bruce Patrick Hackworth, including its address, specialty, and other relevant information, were last updated or revised on 2016-01-01.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH