Dr Cynthia L Hackathorn, PHD is a
Psychologist based in Jefferson City, Missouri. Dr Cynthia L Hackathorn is licensed to practice in Missouri (license number 2011001093) and her current practice location is
1706 E Elm St, Jefferson City, Missouri. She can be reached at her office (for appointments etc.) via phone at
(573) 526-2999.
NPI number for Dr Cynthia L Hackathorn is 1659534386 and her current mailing address is 4803 Clark Lane, Apt 101, Columbia, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659534386.
Healthcare Provider's Profile
| Full Name | Dr Cynthia L Hackathorn |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 1706 E Elm St, Jefferson City, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659534386
- Provider Enumeration Date: 07/02/2008
- Last Update Date: 09/02/2016
Medical Identifiers
Medical identifiers for Dr Cynthia L Hackathorn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659534386 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 2011001093 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Cynthia L Hackathorn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Cynthia L Hackathorn, PHD
4803 Clark Lane, Apt 101,
Columbia, MO 65202-0034
Ph: (405) 795-7311 | Dr Cynthia L Hackathorn, PHD
1706 E Elm St,
Jefferson City, MO 65102
Ph: (573) 526-2999 |
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