| Comprehensive Psychological Services Llc | |
|
1335 Bayleaf Terrace Ave Henderson NV 89014-8867 | |
| (702) 339-6890 | |
| Not Available |
| Full Name | Comprehensive Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1335 Bayleaf Terrace Ave, Henderson, Nevada |
| Authorized Official Name and Position | Linda V Frantom (OWNER/MANAGING MEMBER) |
| Authorized Official Contact | 7023396890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Psychological Services Llc 2740 S Jones Blvd Las Vegas NV 89146-5306 Ph: (702) 248-8866 | Comprehensive Psychological Services Llc 1335 Bayleaf Terrace Ave Henderson NV 89014-8867 Ph: (702) 339-6890 |
| NPI Number | 1972795680 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 09/03/2014 |
| Medicare PECOS PAC ID | 1254427248 |
|---|---|
| Medicare Enrollment ID | O20071023000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972795680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY0527 (Nevada) | Primary |
| Provider Name | Linda V Frantom |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538280722 PECOS PAC ID: 0547356784 Enrollment ID: I20081027000005 |
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