Organization
PROGRESSIVE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURIE ANN DECKARD-TANKERSLEY PSY.D. (MANAGING PARTNER/OWNER)
(773) 733-6629
Entity
Organization
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
(177) 373-3662
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY10079
FL
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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