Jessica Hackenberg, PSY.D

NPI 1073912580 · on the registry since 2014

Practice

Address: 2121 Lake Ave
116a-M
Fort Wayne, IN 46805
Phone: (765) 674-3321
Organisation at this address: Nihcs
Marion Vamc
Marion Vamc
Va Hospital
Va Northern Indiana Hcs
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 354

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-08-20

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 Indiana