SearchMichigan103TC0700X

Gale Hackworth, PHD

NPI 1710519376 · on the registry since 2020

Practice

Address
811 Ship St Ste 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
103TC0700X
103TC0700X
Also registered as
103T00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-19

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