Individual
MS. ANNE S. ACKERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1029 N PROVIDENCE RD, MEDIA, PA 19063-1404
(610) 724-2713
Mailing address
1029 N PROVIDENCE RD, MEDIA, PA 19063-1404
(610) 724-2713
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-004161-L
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS-004161-L
PA
103TS0200X
School Psychologist
PS-004161-L
PA
Other
Enumeration date
03/29/2007
Last updated
07/10/2016
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