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DR. WILLAIM ALLEN DECKER PH. D.

Clinical Neuropsychologist

Alexandria, Virginia

Provider NPI: 1033234950

Provider Information:
DR. WILLAIM ALLEN DECKER PH. D.
Gender: M
Sole Proprietor


Practice Location:
1423 POWHATAN ST SUITE 8 ALEXANDRIA, VA 22314 US
Tel: 703-836-3678  Fax: 703-836-2667

Business Mailing Address:
1423 POWHATAN ST SUITE 7 ALEXANDRIA, VA 22314 US
Tel: 703-836-3678  Fax: 703-836-2667

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
VA0810002331
X103TB0200XBehavioral Health & Social Service Providers
Psychologist
VA0810002331
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
VA0810002331
X103TH0100XBehavioral Health & Social Service Providers
Psychologist
VA0810002331

Other Provider Identifiers:

IssuerNumberStateType
BCBS NCA CAREFIRSTA7860001MD01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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