| Decco, Llc | |
|
1225 W Main St Ste. 102 Norman OK 73069-6824 | |
| (405) 292-1000 | |
| (405) 801-2506 |
| Full Name | Decco, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1225 W Main St, Norman, Oklahoma |
| Authorized Official Name and Position | Julie Dupell (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 4052921000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Decco, Llc 1225 W Main St Ste. 102 Norman OK 73069-6824 Ph: (405) 292-1000 | Decco, Llc 1225 W Main St Ste. 102 Norman OK 73069-6824 Ph: (405) 292-1000 |
| NPI Number | 1427240142 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 9830244771 |
|---|---|
| Medicare Enrollment ID | O20090828000478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427240142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 671 (Oklahoma) | Primary |
| Provider Name | Julie C Dupell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891742599 PECOS PAC ID: 6204981145 Enrollment ID: I20090828000473 |
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