JESSICA LYNN HACKENBERG

FORT WAYNE, IN
NPI1073912580
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: OH  6646)
Enumeration Date2014-08-20
Last Update Date2014-08-20
Business Address
-- JESSICA LYNN HACKENBERG Psy.D.
2121 LAKE AVE 116A-M
FORT WAYNE, IN 46805-5100
Phone number: 765-674-3321
Mailing Address
-- JESSICA LYNN HACKENBERG Psy.D.
53931 WILBUR RD
THREE RIVERS, MI 49093-9765
Phone number: 812-841-1448
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