| Comprehensive Psychological Consulting Services Llc | |
|
205 N Monroe St Media PA 19063-3052 | |
| (610) 558-4510 | |
| (610) 558-2350 |
| Full Name | Comprehensive Psychological Consulting Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 205 N Monroe St, Media, Pennsylvania |
| Authorized Official Name and Position | Leah P Greenwood (CONTRACTS MANAGER) |
| Authorized Official Contact | 6105584510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Psychological Consulting Services Llc 500 Achille Rd Havertown PA 19083-2104 Ph: (610) 558-4510 | Comprehensive Psychological Consulting Services Llc 205 N Monroe St Media PA 19063-3052 Ph: (610) 558-4510 |
| NPI Number | 1790188761 |
|---|---|
| Provider Enumeration Date | 10/03/2014 |
| Last Update Date | 10/03/2014 |
| Medicare PECOS PAC ID | 2062730773 |
|---|---|
| Medicare Enrollment ID | O20150409000496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790188761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS017358 (Pennsylvania) | Primary |
| Provider Name | Stephanie Claudy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437490232 PECOS PAC ID: 7315184389 Enrollment ID: I20130510000320 |
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