Search › Michigan › 103T00000X
Bruce Hackworth, PHD
NPI 1063448918 · on the registry since 2006
Practice
- Address
- 811 Ship St
Suite 4b
Saint Joseph, MI 49085 - Phone
- (269) 985-3618
- Fax
- (269) 609-6009
- Organisation at this address
- Lighthouse Behavioral Health, Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-01-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan