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NPI Code Detail

MEDICARE: DR. THOMAS ANTHONY HACKER PH.D.

MEDICARE:  DR. THOMAS ANTHONY HACKER  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPY00001465WA
2103TP0814XPsychoanalysis PsychologistPY00001465WA

General Provider Information

NPI Number : 1104039866
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS ANTHONY HACKER PH.D.
Provider Business Mailing Address
First Line : 4105 E. MADISON ST.
Second Line : STE. 200
City : SEATTLE
State : WA
Zip : 98112-3204
Country : US
Telephone Number : 206-322-2576
Fax Number :
Provider Business Practice Location Address
First Line : 4105 E. MADISON ST.
Second Line : STE. 200
City : SEATTLE
State : WA
Zip : 98112-3204
Country : US
Telephone Number : 206-322-2576
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 09/11/2025

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Directions to “ DR. THOMAS ANTHONY HACKER PH.D.” Practice Location

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