Individual
DR. DIANN M ACKARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5101 OLSON MEMORIAL HWY, #4001, GOLDEN VALLEY, MN 55422-5149
(763) 595-7294
(763) 595-7293
Mailing address
5101 OLSON MEMORIAL HWY, #4001, GOLDEN VALLEY, MN 55422-5149
(763) 595-7294
(763) 595-7293
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4200
MN
103TC0700X
Clinical Psychologist
LP4200
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202354-53
EMPLOYEE IDENTIFICATION N
MN
Enumeration date
06/04/2006
Last updated
09/11/2025
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