Provider Demographics
NPI:1821869181
Name:ACKLEY, JOSIAH IAN
Entity Type:Individual
Prefix:MR
First Name:JOSIAH
Middle Name:IAN
Last Name:ACKLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 MANSION DR APT H
Mailing Address - Street 2:
Mailing Address - City:SHILLINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19607-3632
Mailing Address - Country:US
Mailing Address - Phone:215-407-5288
Mailing Address - Fax:
Practice Address - Street 1:200 SPRING RIDGE DR STE 103
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19610-3334
Practice Address - Country:US
Practice Address - Phone:610-927-6593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral