Hackler, Dusty Renee
Hackler, Dusty Renee is an individual health care provider with primary practice located at 9555 Upland Ln N , Maple Grove MN 55369-4485. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Hackler, Dusty Renee can be contacted via phone (952) 993-3307.Contact Information
Primary practice address
9555 Upland Ln N
Maple Grove MN 55369-4485
Phone: (952) 993-3307
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | LP6194 | Minnesota |
Profile Details
| NPI number | 1487168357 |
|---|---|
| LBN Legal business name | Hackler, Dusty Renee |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2017 |
| Last updated | Nov 29th, 2017 - about 8 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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