Provider Demographics
NPI:1285734566
Name:ACKNER, STEPHANIE E (MD)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:E
Last Name:ACKNER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:541 JENNY LN
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-1622
Mailing Address - Country:US
Mailing Address - Phone:937-299-6660
Mailing Address - Fax:
Practice Address - Street 1:601 S EDWIN C MOSES BLVD
Practice Address - Street 2:NORTHWEST BLDG, 1ST FLOOR
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45408-1424
Practice Address - Country:US
Practice Address - Phone:937-224-4646
Practice Address - Fax:937-224-1465
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35-0883632084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry