Decker, Willaim Allen

Decker, Willaim Allen is an sole proprietor health care provider with primary practice located at 1423 Powhatan St Suite 8, Alexandria VA 22314-1389. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Decker, Willaim Allen can be contacted via phone (703) 836-3678.

Contact Information

Primary practice address
1423 Powhatan St Suite 8 Alexandria VA 22314-1389
Phone: (703) 836-3678
Fax: (703) 836-2667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 0810002331 Virginia
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 0810002331 Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810002331 Virginia
Behavioral Health & Social Service Providers / Health Service 103TH0100X 0810002331 Virginia

Profile Details

NPI number 1033234950
LBN Legal business name Decker, Willaim Allen
Credentials PH. D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
Last updated Jul 8th, 2007 - about 17 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 1033234950 NPPES
Maryland Other A7860001 BCBS NCA CAREFIRST

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