Dr. Mark D Ackerman, PhD
Psychologist, Clinical in Atlanta, GA. Individual provider (NPI-1).
NPI number1376651653
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1376651653
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark D Ackerman
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 28, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 1647 | GA | Yes |
Practice location
3280 Howell Mill Rd Nw217 E
Atlanta, GA 30327-4111
Phone 404-428-1887
Mailing address
Po Box 888213Atlanta, GA 30356-0213
Phone 404-428-1887
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