Provider Demographics
NPI:1548318546
Name:DECORY, YVONNE L (MD)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:L
Last Name:DECORY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:120 MAIN ST UNIT 120
Mailing Address - Street 2:
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072-3527
Mailing Address - Country:US
Mailing Address - Phone:207-541-9352
Mailing Address - Fax:712-220-8548
Practice Address - Street 1:120 MAIN ST STE 110
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-3536
Practice Address - Country:US
Practice Address - Phone:207-541-9354
Practice Address - Fax:712-220-8548
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD148532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME337570099Medicaid
MEEX8949Medicare PIN
ME337570099Medicaid