Doctor Name: | BARBARA BRUNDIGE DECKER |
NPI Number: | 1003089046 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A, LPC, NCC |
License Number: | PC000233 |
Business Practice Address: | 1318 N. Abington Rd. Waverly, PA - 18471 |
Business Phone Number: | 5705632395 |
Business Fax Number: | 5705632477 |
Mailing Address: | 1318 N. Abington Rd., Po Box 246 WAVERLY |
State: | PA |
Postal Code: | 18471 |
Phone Number: | 5705632395 |
Fax Number: | 5705632477 |
NPI Enumeration Date: | 04/10/2008 |
NPI Last Update Date: | 04/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC000233 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |