MEDICARE: ERIC J DECH PHD PC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1023637584
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERIC J DECH PHD PC

Provider Business Mailing Address
First Line	:	215 EXECUTIVE DR STE 102
Second Line	:
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-6408
Country	:	US
Telephone Number	:	724-816-0580
Fax Number	:	724-776-5611

Provider Business Practice Location Address
First Line	:	215 EXECUTIVE DR STE 102
Second Line	:
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-6408
Country	:	US
Telephone Number	:	724-816-0580
Fax Number	:	724-776-5611

Authorized Official
Title or Position	:	OWNER
Name	:	ERIC J DECH
Credential	:	PHD
Telephone Number	:	724-816-0580

Provider Enumeration Date	:	04/14/2020
Last Update Date	:	04/14/2020

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