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Dr. Priscilla D. Hernandez Hacker, PHD
Clinical Psychologist in Moscow, Idaho
NPI 1063469203

Priscilla D. Hernandez Hacker is a Clinical Psychologist based in Moscow, ID and is specialized in Clinical. Priscilla D. Hernandez Hacker practices in Moscow, ID and has the professional credentials of PHD. The NPI Number for Priscilla D. Hernandez Hacker is 1063469203 and holds a License No. PY1696 (Idaho).

The current practice location address for Priscilla D. Hernandez Hacker is 2301 W A St, Moscow, ID and can be reached out via phone at 208-883-1144 and via fax at 208-883-8062. You can also correspond with Priscilla D. Hernandez Hacker through the mailing address at 2301 W A ST, MOSCOW, ID - 83843-4038 (mailing address contact number: 208-883-1144).

Location: 2301 W A St, Moscow, ID, 83843-4038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063469203
Provider Name
Priscilla D. Hernandez Hacker
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
2301 W A St, Moscow, ID, 83843-4038
Phone Number
208-883-1144
Fax Number
208-883-8062
Provider Enumeration Date
05/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010149290 01 ID REGENCE BLUE SHIELD PIN
380-319 01 WA DSHS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
2301 W A St
City
Moscow
State
Idaho
Zip
83843-4038
Phone Number
208-883-1144
Fax Number
208-883-8062
person
Provider Business Mailing Address Details
Address
2301 W A St
City
Moscow
State
Idaho
Zip
83843-4038
Phone Number
208-883-1144
Fax Number
208-883-8062
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PY1696 (Washington)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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