| Jennifer Ackrish, Psy.d. Llc | |
|
11295 Nw 71st Ct Parkland FL 33076-3851 | |
| (561) 299-0483 | |
| (954) 566-1186 |
| Full Name | Jennifer Ackrish, Psy.d. Llc |
|---|---|
| Speciality | Psychologist |
| Location | 11295 Nw 71st Ct, Parkland, Florida |
| Authorized Official Name and Position | Jennifer Ackrish (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5612990483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Ackrish, Psy.d. Llc 11295 Nw 71st Ct Parkland FL 33076-3851 Ph: (561) 299-0483 | Jennifer Ackrish, Psy.d. Llc 11295 Nw 71st Ct Parkland FL 33076-3851 Ph: (561) 299-0483 |
| NPI Number | 1013305499 |
|---|---|
| Provider Enumeration Date | 01/07/2015 |
| Last Update Date | 04/21/2021 |
| Certification Date | 04/21/2021 |
| Medicare PECOS PAC ID | 0143548982 |
|---|---|
| Medicare Enrollment ID | O20150408000247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013305499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY9129 (Florida) | Primary |
| Provider Name | Jennifer Ellen Ackrish |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679974877 PECOS PAC ID: 8325366172 Enrollment ID: I20150408000420 |
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