Draycen Decator
Clinical Neuropsychologist in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1447738877
StatusActive
Last updated in NPPESJul 28, 2018
Details
- NPI
- 1447738877
- Entity type
- Individual (NPI-1)
- Name
- Draycen Decator
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2018
- Last updated
- Jul 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 6301017537 | MI | Yes |
Practice location
3292 N Evergreen Dr NeGrand Rapids, MI 49525-9746
Phone 616-365-8920 · Fax 616-365-8971
Mailing address
3292 N Evergreen Dr NeGrand Rapids, MI 49525-9746
Phone 616-365-8920 · Fax 616-365-8971
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All 39 Clinical Neuropsychologist providers in Grand Rapids · All 20,987 providers in Grand Rapids
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