Healthcare Provider Details
I. General information
NPI: 1407878333
Provider Name (Legal Business Name): COMPREHENSIVE PSYCHOLOGICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/23/2006
Last Update Date: 06/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1208 E 3300 S
SALT LAKE CITY UT
84106-2522
US
IV. Provider business mailing address
1208 E 3300 S
SALT LAKE CITY UT
84106-2522
US
V. Phone/Fax
- Phone: 801-483-1600
- Fax: 801-483-1610
- Phone: 801-483-1600
- Fax: 801-483-1610
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
STEVEN
A
SZYKULA
Title or Position: CEO/PSYCHOLOGIST
Credential: PH.D.
Phone: 801-483-1600