NPI 1467523654 · live from the CMS NPI Registry
Andrea Benkle Ackerman, Ph.D.
Psychologist, Clinical in Woodland Hills, CA. National Provider Identifier 1467523654, active.
NPI record
| NPI | 1467523654 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 21731 Ventura Blvd Ste 160, Woodland Hills, CA 91364 |
| Practice phone | 818-713-1006 |
| Mailing address | 5438 Lubao Ave, Woodland Hills, CA 91364 |
| Enumerated | November 11, 2006 |
| Last updated | October 10, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | PSY6800 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.