Individual
DR. JANICE DECOVNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2865 SAN BENITO DR, WALNUT CREEK, CA 94598-4153
(925) 938-8789
Mailing address
2865 SAN BENITO DR, WALNUT CREEK, CA 94598-4153
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY7973
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045238-000
MAGELLAN
CA
01
—
074935
MHNMC
CA
01
—
149877
VALUE OPTIONS
CA
Enumeration date
07/27/2006
Last updated
07/21/2022
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