MR. EVAN DECKER NPI 1902045354

NPI Information

NPI: 1902045354
Provider Name: MR. EVAN DECKER
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA
ZIP 96150
Phone: (530) 541-5190
Get Directions

MR. Evan Decker is an addiction (substance use disorder) counselor in South Lake Tahoe, CA. MR. Evan Decker NPI is 1902045354. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA
ZIP 96150-207
Phone: (530) 541-5190
Fax: (530) 541-6031

The enumeration date for this NPI number is 2/9/2009 and was last updated on 2/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »