Healthcare Provider Details

I. General information

NPI: 1023934239
Provider Name (Legal Business Name): KATHERINE JOAN DECKER MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824-826 BOYLSTON STREET SUITE 100B
BROOKLINE MA
02467
US

IV. Provider business mailing address

824-826 BOYLSTON STREET SUITE 100B
BROOKLINE MA
02467
US

V. Phone/Fax

Practice location:
  • Phone: 617-468-4624
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: