Paul Joseph Decancq in Canandaigua - Clinical
Paul Joseph Decancq - NPI 1871530089
Paul Joseph Decancq is a Clinical in Canandaigua, New York. Paul Joseph Decancq practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paul Joseph Decancq is 1871530089. The last update date is 2012-04-24.
Paul Joseph Decancq's current location address is 400 Fort Hill Ave, Canandaigua, New York. You can contact this provider via phone number 5853937225 and fax number 5853938380. The mailing address for Paul Joseph Decancq is 400 Fort Hill Ave, Canandaigua, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Paul Joseph Decancq |
---|---|
Address | 400 Fort Hill Ave, Canandaigua, New York |
Phone Number | 5853937225 |
Fax Number | 5853938380 |
Sole Proprietor | N |
Credentials | PSY.D. |
NPI Number Detail
NPI Number | 1871530089 |
---|---|
Provider Enumeration Date | 2006-05-31 |
Last Updated Date | 2012-04-24 |
Provider Mailing Address Detail
Address | 400 Fort Hill Ave |
---|---|
City | Canandaigua |
State | New York (NY) |
Post Code | 144241159 |
Phone Number | 5853937225 |
Fax Number | 5853938380 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
---|---|
Taxonomy | 103Tc0700X |
Licence No | 014228-1 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
P010014228 | NY | BLUE CHOICE | |
PDE760144 | NY | BLUECROSS / BLUE SHIELD | |
106215FC | NY | PREFERRED CARE |
Post Comment/ Review Below
What is the unique identification code assigned to Paul Joseph Decancq by the Centers for Medicare & Medicaid Services?
The Paul Joseph Decancq has been issued the NPI (National Provider Identifier) 1871530089. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Paul Joseph Decancq is geographically located?
The Paul Joseph Decancq is physically situated at the following location: 400 Fort Hill Ave, Canandaigua, NY, 144241159.
What is Paul Joseph Decancq's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Paul Joseph Decancq is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
When did Paul Joseph Decancq receive its 1871530089 assignment?
The Paul Joseph Decancq was assigned its 1871530089 on 2006-05-31, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Paul Joseph Decancq most recently updated or revised?
The information pertaining to Paul Joseph Decancq, including its address, specialty, and other relevant details, was last updated or revised on 2012-04-24.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY