Comprehensive Behavioral Health Services, Pa | |
2835 S Service Dr Ste 203 Red Wing MN 55066-1883 | |
(651) 388-0052 | |
(651) 388-0054 |
Full Name | Comprehensive Behavioral Health Services, Pa |
---|---|
Speciality | Psychologist - Clinical Child & Adolescent |
Location | 2835 S Service Dr Ste 203, Red Wing, Minnesota |
Authorized Official Name and Position | James P. Davig (PRESIDENT) |
Authorized Official Contact | 6513880052 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Comprehensive Behavioral Health Services, Pa 2835 S Service Dr Ste 203 Red Wing MN 55066-1883 Ph: (651) 388-0052 | Comprehensive Behavioral Health Services, Pa 2835 S Service Dr Ste 203 Red Wing MN 55066-1883 Ph: (651) 388-0052 |
NPI Number | 1346376282 |
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Provider Enumeration Date | 02/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346376282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | LP4334 (Minnesota) | Primary |
103TC2200X | Psychologist - Clinical Child & Adolescent | LP4533 (Minnesota) | Primary |
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