Gary Comstock Therapy | |
9200 Indian Creek Pkwy Ste 660 Overland Park KS 66210-2097 | |
(913) 401-7437 | |
(816) 227-6931 |
Full Name | Gary Comstock Therapy |
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Speciality | Social Worker |
Location | 9200 Indian Creek Pkwy Ste 660, Overland Park, Kansas |
Authorized Official Name and Position | Gary Comstock (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 9134017437 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gary Comstock Therapy 9200 Indian Creek Pkwy Ste 660 Overland Park KS 66210-2097 Ph: (913) 401-7437 | Gary Comstock Therapy 9200 Indian Creek Pkwy Ste 660 Overland Park KS 66210-2097 Ph: (913) 401-7437 |
NPI Number | 1598436008 |
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Provider Enumeration Date | 09/23/2021 |
Last Update Date | 01/10/2022 |
Certification Date | 01/10/2022 |
Medicare PECOS PAC ID | 4486047982 |
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Medicare Enrollment ID | O20220204001338 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598436008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Gary L Comstock |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306852579 PECOS PAC ID: 7214121417 Enrollment ID: I20101102000226 |
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