Provider Demographics
NPI:1215141304
Name:DECKER, RICHARD L JR (PSYD, LPCC)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:L
Last Name:DECKER
Suffix:JR
Gender:M
Credentials:PSYD, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 683
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350-0683
Mailing Address - Country:US
Mailing Address - Phone:320-434-1312
Mailing Address - Fax:651-925-0087
Practice Address - Street 1:1135 HIGHWAY 7 W
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:MN
Practice Address - Zip Code:55350-1511
Practice Address - Country:US
Practice Address - Phone:320-434-1312
Practice Address - Fax:651-925-0087
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC00297103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling