Doctor Name: | DR. SUZANNE E DECKER |
NPI Number: | 1083934103 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 003287 |
Business Practice Address: | 950 Campbell Ave West Haven, CT - 065162770 |
Business Phone Number: | 2039325711 |
Business Fax Number: | |
Mailing Address: | 950 Campbell Avenue, WEST HAVEN |
State: | CT |
Postal Code: | 06516 |
Phone Number: | 2039325711 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2010 |
NPI Last Update Date: | 05/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 003287 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |