Provider Demographics
NPI:1366547556
Name:ACKERMAN, HELEN PENNER (EDD, PHD)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:PENNER
Last Name:ACKERMAN
Suffix:
Gender:F
Credentials:EDD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5921 ALMOND TER
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2501
Mailing Address - Country:US
Mailing Address - Phone:954-791-6373
Mailing Address - Fax:954-581-8516
Practice Address - Street 1:5921 ALMOND TER
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2501
Practice Address - Country:US
Practice Address - Phone:954-791-6373
Practice Address - Fax:954-581-8516
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY2006103T00000X
103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist