Individual
MRS. DANAE DECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6145 N COUNTY ROAD 940 W, MIDDLETOWN, IN 47356-9530
(765) 620-8400
(765) 779-4010
Mailing address
406 S MULBERRY ST, FARMLAND, IN 47340-9509
(765) 620-8400
(765) 779-4010
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46001936A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46001936A
IN STATE LICENSE
IN
Enumeration date
05/02/2009
Last updated
05/02/2009
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