| Doctor Name: | MRS. REBECA ACKERMAN |
| NPI Number: | 1164636734 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PPSC |
| License Number: | |
| Business Practice Address: | 4350 Otay Mesa Rd San Ysidro, CA - 921731617 |
| Business Phone Number: | 6194284476 |
| Business Fax Number: | 6194281393 |
| Mailing Address: | 4350 Otay Mesa Rd, SAN YSIDRO |
| State: | CA |
| Postal Code: | 921731617 |
| Phone Number: | 6194284476 |
| Fax Number: | 6194281393 |
| NPI Enumeration Date: | 05/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |