Provider Demographics
NPI:1346422482
Name:DECKER, ELAINE JOY (MS, LPC)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:JOY
Last Name:DECKER
Suffix:
Gender:F
Credentials:MS, LPC
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Other - Credentials:
Mailing Address - Street 1:1000 PARCHMENT DR, SE
Mailing Address - Street 2:PSYCHOLOGY ASSOCIATES OF GRAND RAPIDS, PC
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546
Mailing Address - Country:US
Mailing Address - Phone:616-957-9112
Mailing Address - Fax:616-957-2409
Practice Address - Street 1:555 MID TOWNE NE SUITE 304
Practice Address - Street 2:PSYCHOLOGY ASSOCIATES OF GRAND RAPIDS, PC
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503
Practice Address - Country:US
Practice Address - Phone:616-458-4444
Practice Address - Fax:616-458-4440
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI6401001566101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional