Organization
NEUROPSYCHOLOGY SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT WALLACE DECKEL PHD (NEUROPSYCHOLOGIST)
(508) 393-3820
Entity
Organization
Contact information
Practice address
96 W MAIN ST, SUITE B, NORTHBOROUGH, MA 01532-3810
(508) 393-3820
(508) 393-3814
Mailing address
PO BOX 605, NORTH GRAFTON, MA 01536-0605
(508) 393-3820
(508) 393-3814
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
8183
MA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
8183
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0522791
—
MA
Enumeration date
11/10/2010
Last updated
11/10/2010
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