| Gary D. Ackerley, Inc. | |
|
305 E Stroop Rd Dayton OH 45429-2827 | |
| (937) 640-1432 | |
| (937) 294-3320 |
| Full Name | Gary D. Ackerley, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 305 E Stroop Rd, Dayton, Ohio |
| Authorized Official Name and Position | Gary D. Ackerley (PRESIDENT) |
| Authorized Official Contact | 9376401432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary D. Ackerley, Inc. 305 E Stroop Rd Dayton OH 45429-2827 Ph: (937) 640-1432 | Gary D. Ackerley, Inc. 305 E Stroop Rd Dayton OH 45429-2827 Ph: (937) 640-1432 |
| NPI Number | 1912020876 |
|---|---|
| Provider Enumeration Date | 04/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912020876 | NPI | - | NPPES |
| 6159301 | Other | OH | UNITED HEALTH CARE |
| 000000328814 | Other | OH | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2853 (Ohio) | Primary |
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