Individual
GREG DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
151 S 4TH ST STE 401, GRAND FORKS, ND 58201-4715
(701) 795-3000
Mailing address
151 S 4TH ST STE 401, GRAND FORKS, ND 58201-4715
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
459
ND
Other
Enumeration date
08/01/2011
Last updated
01/03/2012
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