National Provider Identifier
Paul Joseph Decancq, PSY.D.
Paul Joseph Decancq, PSY.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Canandaigua, NY and a listed phone number of (585) 393-7225.
Profile Overview
- NPI
- 1871530089
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- May 31, 2006
- Last Updated
- April 24, 2012
Practice Location
- 400 Fort Hill Ave
- 532 / 300 / B2
- Canandaigua, NY 14424-1159
Phone: (585) 393-7225
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1871530089
- Entity Type
- Individual
- Last Name
- Decancq
- First Name
- Paul
- Middle Name
- Joseph
- Name Prefix
- Dr.
- Credential
- PSY.D.
- Mailing Street Address
- 400 Fort Hill Ave
- Mailing Address Line 2
- 532 / 300 / B2
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1159
- Mailing Country
- US
- Mailing Phone
- (585) 393-7225
- Mailing Fax
- (585) 393-8380
- Practice Street Address
- 400 Fort Hill Ave
- Practice Address Line 2
- 532 / 300 / B2
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1159
- Practice Country
- US
- Practice Phone
- (585) 393-7225
- Practice Fax
- (585) 393-8380
- Enumeration Date
- May 31, 2006
- Last Updated
- April 24, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)
- Other Identifiers
- P010014228 (NY, Blue Choice), PDE760144 (NY, Bluecross / Blue Shield), 106215FC (NY, Preferred Care)