Individual
DR. CHRISTOPHER C DECANIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
133 S BRADDOCK ST, WINCHESTER, VA 22601
(540) 722-9472
(540) 722-9473
Mailing address
133 S BRADDOCK ST, WINCHESTER, VA 22601
(540) 722-9472
(540) 722-9473
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0149931
NY
103TC0700X
Clinical Psychologist
0810003294
VA
103TS0200X
School Psychologist
PPS0600035
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007141537
AETNA
—
01
—
1149097
CIGNA BH
—
01
—
115027460002
CIGNA
—
01
—
227704
COMPSYCH
—
01
—
279395
ANTHEM
VA
01
—
331110
MHN
—
01
—
801821
SENTARA
—
01
—
V735Y
EMPIRE BCBS
—
Enumeration date
01/16/2007
Last updated
09/11/2025
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