Doctor Name: | CYNTHIA ACKER |
NPI Number: | 1285768887 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1508 N. 10th Ave San Luis, AZ - 85349 |
Business Phone Number: | 9286276914 |
Business Fax Number: | |
Mailing Address: | 244 E Mesquite St, YUMA |
State: | AZ |
Postal Code: | 853648218 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 07/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |