Ackard, Diann M

Ackard, Diann M is an individual health care provider with primary practice located at 5101 Olson Memorial Hwy #4001, Golden Valley MN 55422-5149. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ackard, Diann M can be contacted via phone (763) 595-7294.

Contact Information

Primary practice address
5101 Olson Memorial Hwy #4001 Golden Valley MN 55422-5149
Fax: (763) 595-7293
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP4200 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP4200 Minnesota

Profile Details

NPI number 1922046481
LBN Legal business name Ackard, Diann M
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922046481 NPPES
Minnesota Other 202354-53 EMPLOYEE IDENTIFICATION N

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