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Contact Information

CANDICE ACKERMAN, PHD, PLLC
1017 RR 620 S
SUITE 222
LAKEWAY, TX78734
 Phone: 512-237-7326
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Marriage & Family Therapist

106H00000X
 

Mental Health

101YM0800X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for CANDICE ACKERMAN, PHD, PLLC

NPI Number 1518402916
LBN Legal business name CANDICE ACKERMAN, PHD, PLLC
Authorized official CANDICE ACKERMAN - (CLINIC DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/21/2016
Last updated 02/01/2017 - About 9 years ago
Identifiers
TX License # 11431
TX License # 202617
TX License # 23301
TX License # 36802
TX License # 70504
TX License # 74351
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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