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
Phone: (763) 595-7294
Fax: (763) 595-7293
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922046481 | NPPES |
Minnesota | Other | 202354-53 | EMPLOYEE IDENTIFICATION N |
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