Healthcare Provider Details

I. General information

NPI: 1437886702
Provider Name (Legal Business Name): SARAH ACKERMAN, PH.D., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2022
Last Update Date: 08/05/2022
Certification Date: 08/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 S MAIN ST STE 311
HANOVER NH
03755-2022
US

IV. Provider business mailing address

53 S MAIN ST STE 311
HANOVER NH
03755-2022
US

V. Phone/Fax

Practice location:
  • Phone: 603-229-2290
  • Fax:
Mailing address:
  • Phone: 603-229-2290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SARAH ACKERMAN
Title or Position: OWNDER
Credential: PH.D.
Phone: 603-229-2290