Decatur Psychological Associates Pc in Decatur - Counselor
Decatur Psychological Associates Pc - NPI 1184732745
Decatur Psychological Associates Pc is a Counselor in Decatur, Illinois. Decatur Psychological Associates Pc practices all healthcare services and medical treatments related to Counselor. The NPI Number for Decatur Psychological Associates Pc is 1184732745. The last update date is 2020-08-22.
Decatur Psychological Associates Pc's current location address is 3040 N University Ave, Decatur, Illinois. You can contact this provider via phone number 2178721700 and fax number 2178721366. The mailing address for Decatur Psychological Associates Pc is 3040 N University Ave, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Decatur Psychological Associates Pc |
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Address | 3040 N University Ave, Decatur, Illinois |
Phone Number | 2178721700 |
Fax Number | 2178721366 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Wence Ray David |
Credentials | D MIN LCPC |
Telephone Number | 2178721700 |
NPI Number Detail
NPI Number | 1184732745 |
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Provider Enumeration Date | 2006-08-25 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 3040 N University Ave |
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City | Decatur |
State | Illinois (IL) |
Post Code | 625261351 |
Phone Number | 2178721700 |
Fax Number | 2178721366 |
Provider's Primary Taxonomy Detail
Speciality | Counselor |
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Taxonomy | 101Y00000X |
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique 10-digit identification code assigned to Decatur Psychological Associates Pc by the Centers for Medicare & Medicaid Services?
The Decatur Psychological Associates Pc has been issued the NPI (National Provider Identifier) 1184732745, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Decatur Psychological Associates Pc is physically located?
The Decatur Psychological Associates Pc is physically situated at the following address: 3040 N University Ave, Decatur, IL, 625261351.
What is Decatur Psychological Associates Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Decatur Psychological Associates Pc is Counselor, and the corresponding taxonomy classification code for this specialized field is 101Y00000X.
On what date did the Decatur Psychological Associates Pc receive the assignment of its 1184732745 from the Centers for Medicare & Medicaid Services?
The Decatur Psychological Associates Pc was issued its 1184732745 by the Centers for Medicare & Medicaid Services on 2006-08-25.
When was the information regarding Decatur Psychological Associates Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Decatur Psychological Associates Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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