Individual
DR. JULIE ANN ACKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1751 2ND AVE STE AZ-5, NEW YORK, NY 10128-5363
(917) 361-6973
Mailing address
1751 2ND AVE STE AZ-5, NEW YORK, NY 10128-5363
(917) 361-6973
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
022884
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022884
NYS LICENSE IN CLINICAL PSYCHOLOGY
NY
Enumeration date
09/24/2018
Last updated
06/15/2021
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