| Doctor Name: | JOHN TERRANCE HACKETT |
| NPI Number: | 1346687605 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A23729 |
| Business Practice Address: | 9226 Hinton Ave Delhi, CA - 953158200 |
| Business Phone Number: | 2096679304 |
| Business Fax Number: | 2096693978 |
| Mailing Address: | Po Box 339, John Terrance Hackett Md DELHI |
| State: | CA |
| Postal Code: | 95340 |
| Phone Number: | 2096679304 |
| Fax Number: | 2096693978 |
| NPI Enumeration Date: | 05/28/2013 |
| NPI Last Update Date: | 03/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TR0400X |
| License Number: | A23729 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |