| NPI | 1265568331 |
|---|---|
| Doing Business As | SAMUEL R. HACKWORTH, PH.D. |
| Entity Type | Organization |
| Authorized Contact | SAMUEL R HACKWORTH CEO Psychologist 512-467-1376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 31411) |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2020-08-22 |