Search › Indiana › 106H00000X
Jerry Hack, LCSW, LMFT
NPI 1770607863 · on the registry since 2007 · sole proprietor
Practice
- Address
- 898 E Main St
Greenwood, IN 46143 - Phone
- (317) 887-1348
- Fax
- (317) 882-1631
- Organisation at this address
- Valle Vista Llc
Valle Vista Llc
Valle Vista, Llc
Valle Vista Hospital Pharmacy
Select Specialty Hospital - Indianapolis IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 1041C0700X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-01-24
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