Search › Idaho › 103TC0700X
Priscilla Hernandez Hacker, PH.D
NPI 1063469203 · on the registry since 2006 · sole proprietor
Practice
- Address
- 828 S Washington St Ste A
Moscow, ID 83843 - Phone
- (208) 883-7766
- Fax
- (208) 883-8062
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC0700X
- Licence states on file
- WA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-20
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 Idaho