Decancq, Paul Joseph

Decancq, Paul Joseph is an individual health care provider with primary practice located at 400 Fort Hill Ave 532 / 300 / B2, Canandaigua NY 14424-1159. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Decancq, Paul Joseph can be contacted via phone (585) 393-7225.

Contact Information

Primary practice address
400 Fort Hill Ave 532 / 300 / B2 Canandaigua NY 14424-1159
Phone: (585) 393-7225
Fax: (585) 393-8380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 014228-1 New York

Profile Details

NPI number 1871530089
LBN Legal business name Decancq, Paul Joseph
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Apr 24th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871530089 NPPES
New York Other P010014228 BLUE CHOICE
New York Other PDE760144 BLUE CHOICE
New York Other 106215FC BLUE CHOICE

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