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

Individual provider Clinical Psychologist · NPI 1073912580

Jessica Lynn Hackenberg, PSYD is a Clinical Psychologist in Fort Wayne, Indiana. Licensed in Ohio. Registered with an NPI since 2014.

Licensed in
OH
In the registry since
2014
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

2121 Lake Ave 116A-M
Fort Wayne, IN 46805-5100
Phone: (765) 674-3321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6646 (OH)

Record details

NPI number1073912580
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedAugust 20, 2014
Last updated in NPPESAugust 20, 2014

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