Hackleman, Robert Dean

Hackleman, Robert Dean is an sole proprietor health care provider with primary practice located at 200 S Bemiston Ave Ste 304, Clayton MO 63105-1915. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hackleman, Robert Dean can be contacted via phone (314) 540-0078.

Contact Information

Primary practice address
200 S Bemiston Ave Ste 304 Clayton MO 63105-1915
Phone: (314) 540-0078
Fax: (314) 334-0918
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2003023450 Missouri

Profile Details

NPI number 1043201833
LBN Legal business name Hackleman, Robert Dean
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Oct 11th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043201833 NPPES
Missouri MEDICAID 498441401

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