MEDICARE: GARY D. ACKERLEY, INC.

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
1	103TC0700X	Clinical Psychologist	2853	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6159301	OTHER	OH	UNITED HEALTH CARE
2	000000328814	OTHER	OH	ANTHEM BCBS

General Provider Information

NPI Number	:	1912020876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARY D. ACKERLEY, INC.

Provider Business Mailing Address
First Line	:	305 E STROOP RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45429-2827
Country	:	US
Telephone Number	:	937-640-1432
Fax Number	:	937-294-3320

Provider Business Practice Location Address
First Line	:	305 E STROOP RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45429-2827
Country	:	US
Telephone Number	:	937-640-1432
Fax Number	:	937-294-3320

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GARY D. ACKERLEY
Credential	:	PH.D.,ABPP
Telephone Number	:	937-640-1432

Provider Enumeration Date	:	04/07/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1881717759 — ACKERLEY INC.
Practice Location Address:

305 E STROOP RD
DAYTON, OH
45429-2827

Practice Phone: 937-294-1689
Practice Fax: 937-294-3320

1326661596 — EPIPHANY MASSAGE THERAPY, INC
Practice Location Address:

303 E STROOP RD
DAYTON, OH
45429-2827

Practice Phone: 937-949-1144
Practice Fax:

1609902816 — DR. JOSEPH VICTOR BEAN DDS
Practice Location Address:

307 E STROOP RD
KETTERING, OH
45429-2827

Practice Phone: 937-299-6766
Practice Fax: 937-299-3326

1205963360 — DR. THERESA BEAN DAVIS DDS
Practice Location Address:

307 E STROOP RD
KETTERING, OH
45429-2827

Practice Phone: 937-299-6766
Practice Fax:

1346105244 — SHARITA L WISE
Practice Location Address:

431 RENDALE PL
DAYTON, OH
45426-2827

Practice Phone: 937-248-8909
Practice Fax:

1336402528 — LARIN R STURGIES LPN
Practice Location Address:

2827 IDA AVE
DAYTON, OH
45405-2733

Practice Phone: 937-751-3079
Practice Fax:

Directions to “GARY D. ACKERLEY, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.