MEDICARE: BEVERLY ANN DECKER

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
1	2355S0801X	Speech-Language Assistant	SLPA11023	AZ

General Provider Information

NPI Number	:	1093213928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEVERLY ANN DECKER

Provider Business Mailing Address
First Line	:	15196 W FILLMORE ST
Second Line	:
City	:	GOODYEAR
State	:	AZ
Zip	:	85338-4124
Country	:	US
Telephone Number	:	623-932-9028
Fax Number	:

Provider Business Practice Location Address
First Line	:	3145 E CHANDLER BLVD STE 110
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85048-8702
Country	:	US
Telephone Number	:	480-374-4341
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2018
Last Update Date	:	01/25/2018

Similar Medicare Providers

1174010326 — CLAIRE CATHERINE ERICKSON
Practice Location Address:

3145 E CHANDLER BLVD STE 110
PHOENIX, AZ
85048-8702

Practice Phone: 480-374-4341
Practice Fax:

1487611158 — REYES R TOPETE MD
Practice Location Address:

3145 E CHANDLER BLVD , STE 110 PMB 437
PHOENIX, AZ
85048-8702

Practice Phone: 623-680-0096
Practice Fax: 866-761-1196

1124059852 — PAULA C RICHARDSON PA-C
Practice Location Address:

3145 E CHANDLER BLVD , SUITE 110-207
PHOENIX, AZ
85048-8702

Practice Phone: 602-615-9082
Practice Fax: 480-634-4415

1184894768 — SURGENCY PHYSICIAN ASSISTANT PLLC
Practice Location Address:

3145 E CHANDLER BLVD # 110-207
PHOENIX, AZ
85048-8702

Practice Phone: 602-615-9082
Practice Fax:

1851694103 — RTOPETE, MD, PLC
Practice Location Address:

3145 E CHANDLER BLVD STE 110 , PMB 437
PHOENIX, AZ
85048-8702

Practice Phone: 480-250-8559
Practice Fax: 480-460-2972

1437417342 — DR. LORA J VAN TASSEL M.D.
Practice Location Address:

3145 E CHANDLER BLVD STE 110-109
PHOENIX, AZ
85048-8702

Practice Phone: 602-935-9773
Practice Fax:

Directions to “ BEVERLY ANN DECKER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.