Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dusty Renee Hackler, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1487168357

Dusty Renee Hackler, PHD is a Clinical Child & Adolescent Psychologist in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2017.

Licensed in
MN
In the registry since
2017
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

9555 Upland Ln N
Maple Grove, MN 55369-4485
Phone: (952) 993-3307
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence LP6194 (MN)

Record details

NPI number1487168357
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedNovember 29, 2017
Last updated in NPPESNovember 29, 2017
Mailing address9555 Upland Ln N, Mailstop:62m03b, Maple Grove, MN 55369-4485

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