IndividualActive
Dusty Hackler, PHD
NPI 1487168357 · Clinical Child & Adolescent Psychologist · Maple Grove, MN
Provider details
- NPI number
- 1487168357
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- LP6194 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
9555 Upland Ln N
Maple Grove, MN 55369-4485
Phone: (952) 993-3307
Approximate (ZIP-level) locationGet directions
Mailing address
9555 Upland Ln N
Maple Grove, MN 55369-4485
Registry dates
- Enumerated
- 2017-11-29
- Last updated
- 2017-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.