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NPI Code Detail

MEDICARE: KRYSTAL G DECKER AU.D.

MEDICARE: KRYSTAL G DECKER AU.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologistAT006131PA

General Provider Information

NPI Number : 1063641215
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRYSTAL G DECKER AU.D.
Provider Business Mailing Address
First Line : 601 MEMORY LN
Second Line :
City : YORK
State : PA
Zip : 17402-2231
Country : US
Telephone Number : 717-851-1405
Fax Number : 717-851-6969
Provider Business Practice Location Address
First Line : 25 LYSTRA ROGERS DR
Second Line :
City : LEWISBURG
State : PA
Zip : 17837-8807
Country : US
Telephone Number : 570-523-3290
Fax Number : 570-524-5231
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2009
Last Update Date : 12/12/2025

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