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:
Health care specialties
Specialty | Code | License # | 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 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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