| Comprehensive Psychology Services, P.c. | |
|
1100 S Calumet Rd Suite 3 Chesterton IN 46304-3275 | |
| (219) 921-5400 | |
| (219) 926-8141 |
| Full Name | Comprehensive Psychology Services, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1100 S Calumet Rd, Chesterton, Indiana |
| Authorized Official Name and Position | Robert James Walsh (OWNER) |
| Authorized Official Contact | 2199215400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Psychology Services, P.c. 1100 S Calumet Rd Suite 3 Chesterton IN 46304-3275 Ph: (219) 921-5400 | Comprehensive Psychology Services, P.c. 1100 S Calumet Rd Suite 3 Chesterton IN 46304-3275 Ph: (219) 921-5400 |
| NPI Number | 1659435873 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4183510787 |
|---|---|
| Medicare Enrollment ID | O20040223000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659435873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 57000092A (Indiana) | Primary |
| Provider Name | Robert J Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548321037 PECOS PAC ID: 2062308661 Enrollment ID: I20111212000620 |
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