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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ALBERT WALLACE DECKEL, PHD

Active Sole Proprietor

DR. ALBERT WALLACE DECKEL, PHD is a Clinical Neuropsychologist healthcare provider located in NORTHBOROUGH, Massachusetts. NPI 1487652483 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · NORTHBOROUGH, MA

Registration Details

NPI Number
1487652483
Provider Type
Individual
Gender
Male
NPI Issued
Jul 13, 2005 (21.121590890969 yrs)
Last Updated
Aug 15, 2014
Licenses
8183 (MA)
8183 (MA)
8183 (MA)
Sole Proprietor
Yes

Practice Information

Address
382 W MAIN ST
SUITE 202
NORTHBOROUGH, MA, 015322157
Browse MA providers · Browse ZIP 01532
Phone
5083933820
Fax
5053933814
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Psychologist
Additional Specialty
Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.