Jessica Lynn Hackenberg, PSY.D.

NPI #1073912580 in Fort Wayne, Indiana

Provider Information

NPI Number
1073912580
Entity Type
Individual
Name
Jessica Lynn Hackenberg, PSY.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
PSY.D.
Enumeration Date
Aug 20, 2014
Last Updated
Aug 20, 2014

Practice Location

Address
2121 LAKE AVE
Address 2
116A-M
State
Indiana
ZIP Code
46805-5100
Phone
(765) 674-3321

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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