Roman, Deborah Decker

Roman, Deborah Decker is an individual health care provider with primary practice located at 909 Fulton St Se , Minneapolis MN 55455-4800. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Roman, Deborah Decker can be contacted via phone (612) 672-7422.

Contact Information

Primary practice address
909 Fulton St Se Minneapolis MN 55455-4800
Phone: (612) 672-7422
Fax: (612) 676-8992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP1553 Minnesota
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X LP1553 Minnesota

Profile Details

NPI number 1982787800
LBN Legal business name Roman, Deborah Decker
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Oct 4th, 2017 - about 8 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 1982787800 NPPES
Fm Other 61-29460 MEDICA CHOICE
Fm Other 61-29460 MEDICA CHOICE
Fm Other 768324 MEDICA CHOICE
Fm Other HP28951 MEDICA CHOICE
Fm Other 1015100 MEDICA CHOICE
Fm Other 5T337RO MEDICA CHOICE
Fm Other 102833 MEDICA CHOICE
Fm MEDICAID 842353900 MEDICA CHOICE

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