Basic Information
| Provider Information | |||||||||
| NPI: | 1861515769 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DECKMAN | ||||||||
| FirstName: | DARCY | ||||||||
| MiddleName: | SHARON | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LMFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3605 LONG BEACH BLVD STE 410 | ||||||||
| Address2: | |||||||||
| City: | LONG BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 908074026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3105351500 | ||||||||
| FaxNumber: | 5624957137 | ||||||||
| Practice Location | |||||||||
| Address1: | 3605 LONG BEACH BLVD STE 410 | ||||||||
| Address2: | |||||||||
| City: | LONG BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 908074026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5625351500 | ||||||||
| FaxNumber: | 5624957137 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/08/2007 | ||||||||
| LastUpdateDate: | 01/24/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 01/20/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | LMFT36420 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.