Individual
DR. LAURIE ANN DECKARD-TANKERSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
137 MILL SPRING PL, ORMOND BEACH, FL 32174-4820
(773) 733-6629
(386) 463-2170
Mailing address
137 MILL SPRING PL, ORMOND BEACH, FL 32174-4820
(773) 733-6629
(386) 463-2170
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006688
IL
Other
Enumeration date
06/19/2006
Last updated
04/19/2018
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