| Comprehensive Psychology Services Llc | |
|
508 W Broadway St Silver City NM 88061-4925 | |
| (575) 574-0267 | |
| (575) 388-1035 |
| Full Name | Comprehensive Psychology Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 508 W Broadway St, Silver City, New Mexico |
| Authorized Official Name and Position | Lisa Houston (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5755740267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Psychology Services Llc Po Box 1641 Silver City NM 88062-1641 Ph: (575) 574-0267 | Comprehensive Psychology Services Llc 508 W Broadway St Silver City NM 88061-4925 Ph: (575) 574-0267 |
| NPI Number | 1932698875 |
|---|---|
| Provider Enumeration Date | 05/07/2018 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Medicare PECOS PAC ID | 4587004494 |
|---|---|
| Medicare Enrollment ID | O20240425002059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932698875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1210 (New Mexico) | Primary |
| Provider Name | Lisa Houston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982916680 PECOS PAC ID: 8426295437 Enrollment ID: I20131017000771 |
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