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General NPI Number Information
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NPI Number | 1992949523
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PSYCHOLOGICAL AND SPEECH SERVICES, LLC
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Dates
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Enumeration Date | 04/27/2009
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Last Update Date | 04/27/2009
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Provider Practice Location Address
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Address Line | 1047 S YORK RD
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City | ELMHURST
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State | IL
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Zip | 60126-5121
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Country | US
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Telephone | 630-852-7336
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Fax | 630-852-8177
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Provider Business Mailing Address
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Address Line | 707 RIDGEVIEW ST
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City | DOWNERS GROVE
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State | IL
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Zip | 60516-3930
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Country | US
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Telephone | 630-852-7336
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Fax | 630-852-8177
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. MARIA STEWART
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Credential | PSY.D. - SPEECH THER
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Telephone | 630-852-7336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146001511
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071005206
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License Number State | IL
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