Individual
JAMIE LYNN DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
1099 44TH ST SW STE 103, WYOMING, MI 49509-4473
(269) 459-1818
(269) 365-9951
Mailing address
324 LYON ST NE, GRAND RAPIDS, MI 49503-5607
(616) 451-2039
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6361007511
MI
103TC0700X
Clinical Psychologist
Primary
6301016596
MI
Other
Enumeration date
06/06/2018
Last updated
04/28/2021
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