Provider Demographics
NPI:1174652572
Name:AKERS, ANN M (MDIV, LP)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:AKERS
Suffix:
Gender:F
Credentials:MDIV, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PORT JERVIS
Mailing Address - State:NY
Mailing Address - Zip Code:12771-1925
Mailing Address - Country:US
Mailing Address - Phone:917-612-8950
Mailing Address - Fax:
Practice Address - Street 1:30 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PORT JERVIS
Practice Address - State:NY
Practice Address - Zip Code:12771-1925
Practice Address - Country:US
Practice Address - Phone:917-612-8950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-04
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst