NPI 1164636734 · live from the CMS NPI Registry
Rebeca Ackerman, PPSC
Psychologist, School in San Ysidro, CA. National Provider Identifier 1164636734, active.
NPI record
| NPI | 1164636734 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, School 103TS0200X |
| Practice location | 4350 Otay Mesa Rd, San Ysidro, CA 92173 |
| Practice phone | 619-428-4476 |
| Enumerated | May 10, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, School primary | 103TS0200X | — (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.