Deckard-Tankersley, Laurie Ann
Deckard-Tankersley, Laurie Ann is an sole proprietor health care provider with primary practice located at 137 Mill Spring Pl , Ormond Beach FL 32174-4820. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Deckard-Tankersley, Laurie Ann can be contacted via phone (773) 733-6629.Contact Information
Primary practice address
137 Mill Spring Pl
Ormond Beach FL 32174-4820
Phone: (773) 733-6629
Fax: (386) 463-2170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071006688 | Illinois |
Profile Details
| NPI number | 1083659445 |
|---|---|
| LBN Legal business name | Deckard-Tankersley, Laurie Ann |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Apr 19th, 2018 - about 6 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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