Comprehensive Behavior Inc Psc | |
464 Linden Ave Harrodsburg KY 40330-1882 | |
(859) 733-5842 | |
Not Available |
Full Name | Comprehensive Behavior Inc Psc |
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Speciality | Psychiatry & Neurology |
Location | 464 Linden Ave, Harrodsburg, Kentucky |
Authorized Official Name and Position | Rizwan Ali (PRESIDENT) |
Authorized Official Contact | 8594929230 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Comprehensive Behavior Inc Psc Po Box 910366 Lexington KY 40591-0366 Ph: () - | Comprehensive Behavior Inc Psc 464 Linden Ave Harrodsburg KY 40330-1882 Ph: (859) 733-5842 |
NPI Number | 1790080802 |
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Provider Enumeration Date | 01/20/2011 |
Last Update Date | 01/20/2011 |
Medicare PECOS PAC ID | 6709066426 |
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Medicare Enrollment ID | O20110211000403 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790080802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Rizwan Ali |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1871662684 PECOS PAC ID: 9335053933 Enrollment ID: I20110211000463 |
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