| Brent Decker, Ph.d., Pa | |
|
11 W 23rd St Suite D1 Panama City FL 32405-7603 | |
| (850) 522-9456 | |
| (850) 522-9094 |
| Full Name | Brent Decker, Ph.d., Pa |
|---|---|
| Speciality | Psychologist |
| Location | 11 W 23rd St, Panama City, Florida |
| Authorized Official Name and Position | Brent Decker (P/V/S/T) |
| Authorized Official Contact | 8505229456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Decker, Ph.d., Pa 11 W 23rd St Suite D1 Panama City FL 32405-7603 Ph: (850) 522-9456 | Brent Decker, Ph.d., Pa 11 W 23rd St Suite D1 Panama City FL 32405-7603 Ph: (850) 522-9456 |
| NPI Number | 1932485141 |
|---|---|
| Provider Enumeration Date | 11/01/2011 |
| Last Update Date | 11/01/2011 |
| Medicare PECOS PAC ID | 6709052517 |
|---|---|
| Medicare Enrollment ID | O20111228000747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932485141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY5989 (Florida) | Primary |
| Provider Name | Brent D Decker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427069251 PECOS PAC ID: 3678749405 Enrollment ID: I20111229000115 |
Life Management Center Of Northwest Florida Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 E 15th St, Panama City, FL 32405 Phone: 850-522-4480 Fax: 850-914-6281 | |
Gulf Coast Autism Clinic, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2404 Ruth Hentz Ave Bldg B, Panama City, FL 32405 Phone: 850-628-7572 | |
Three Little Birds Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Jazz Dr, Panama City, FL 32405 Phone: 843-271-4891 Fax: 850-248-2469 | |
Suzette Smith Lcsw Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 Fortune Ave, Panama City, FL 32401 Phone: 850-769-6188 Fax: 850-769-2366 | |
Unlimited Choices Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 Grace Ave, Panama City, FL 32401 Phone: 850-625-8266 | |
Journeypure Panhandle Medical Group Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22219 Panama City Beach Pkwy, Panama City, FL 32413 Phone: 850-249-4300 | |
Thomas J. Derbes, M.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Doctors Dr, Suite B, Panama City, FL 32405 Phone: 850-872-1300 Fax: 850-872-1300 |