DR. Bruce Patrick Hackworth, PHD

NPI #1063448918 in Saint Joseph, Michigan

Provider Information

NPI Number: 1063448918
Entity Type: Individual
Name: DR. Bruce Patrick Hackworth, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Jun 23, 2006
Last Updated: Jan 1, 2016

Practice Location

Address: 811 SHIP ST
Address 2: SUITE 4B
City: Saint Joseph
State: Michigan
ZIP Code: 49085-1171
Phone: (269) 985-3618

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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