| Jordyn Ackerman Llc | |
|
11 Municipal Dr Ste 200 Fishers IN 46038-1634 | |
| (812) 820-0786 | |
| Not Available |
| Full Name | Jordyn Ackerman Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 11 Municipal Dr Ste 200, Fishers, Indiana |
| Authorized Official Name and Position | Jordyn Ackerman (CEO) |
| Authorized Official Contact | 8128200786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordyn Ackerman Llc 6895 Sun River Dr Fishers IN 46038-2724 Ph: (812) 820-0786 | Jordyn Ackerman Llc 11 Municipal Dr Ste 200 Fishers IN 46038-1634 Ph: (812) 820-0786 |
| NPI Number | 1215760871 |
|---|---|
| Provider Enumeration Date | 08/20/2024 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Medicare PECOS PAC ID | 3072053156 |
|---|---|
| Medicare Enrollment ID | O20240904004267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215760871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Jordyn Ackerman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750825030 PECOS PAC ID: 4880044072 Enrollment ID: I20240904004331 |
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