Doctor Name: | DR. WILLAIM ALLEN DECKER |
NPI Number: | 1033234950 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH. D. |
License Number: | 0810002331 |
Business Practice Address: | 1423 Powhatan St Suite 8 Alexandria, VA - 223141389 |
Business Phone Number: | 7038363678 |
Business Fax Number: | 7038362667 |
Mailing Address: | 1423 Powhatan St, Suite 7 ALEXANDRIA |
State: | VA |
Postal Code: | 223141389 |
Phone Number: | 7038363678 |
Fax Number: | 7038362667 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 0810002331 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |