NPI | 1245685064 |
---|---|
Former Name | ANN MARIE DECKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 90877) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 90877) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 63157) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TN 63157) | |
Enumeration Date | 2016-04-29 |
Last Update Date | 2022-10-06 |