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NPI Code Detail

MEDICARE: DR. MARGARET ANNE ACKLEY PH.D.

MEDICARE:  DR. MARGARET ANNE ACKLEY  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist2856NC
2103G00000XClinical Neuropsychologist2856NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720089295
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARGARET ANNE ACKLEY PH.D.
Provider Business Mailing Address
First Line : NAVAL MEDICAL CENTER
Second Line : 100 BREWSTER BLVD
City : CAMP LEJEUNE
State : NC
Zip : 28547-2538
Country : US
Telephone Number : 910-449-1100
Fax Number :
Provider Business Practice Location Address
First Line : NAVAL MEDICAL CENTER
Second Line : 100 BREWSTER BLVD
City : CAMP LEJEUNE
State : NC
Zip : 28547-2538
Country : US
Telephone Number : 910-449-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 01/07/2025

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