Donna Ackerman, PSYD , LMFT
Individual provider Active NPI Psychologist · Paso Robles, CA
NPI 1922367887 · NPPES record last updated Jan 5, 2024
Key facts
- NPI
- 1922367887
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PSY33702 (CA)
- Practice address
- 1035 Vine St
Paso Robles, CA 93446-2579 - Phone
- (805) 431-9224
- NPI assigned
- May 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY33702 | CA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY33702 | CA | Yes |
Addresses
Primary practice location
1035 Vine St
Paso Robles, CA 93446-2579
Mailing address
359 Calle de Pueblo
Templeton, CA 93465-5428
Phone (805) 431-9224
Other practice location 1
359 Calle De Pueblo
Templeton, CA 93465-5428
Phone (805) 431-9224
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All providers in Paso Robles, CA · Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.