Provider Demographics
NPI:1023637584
Name:ERIC J DECH PHD PC
Entity type:Organization
Organization Name:ERIC J DECH PHD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:J
Authorized Official - Last Name:DECH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:724-816-0580
Mailing Address - Street 1:215 EXECUTIVE DR STE 102
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-6408
Mailing Address - Country:US
Mailing Address - Phone:724-816-0580
Mailing Address - Fax:724-776-5611
Practice Address - Street 1:215 EXECUTIVE DR STE 102
Practice Address - Street 2:
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-6408
Practice Address - Country:US
Practice Address - Phone:724-816-0580
Practice Address - Fax:724-776-5611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health