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NPI Code Detail

MEDICARE: COMPREHENSIVE PSYCHOLOGICAL SERVICES INC

MEDICARE: COMPREHENSIVE PSYCHOLOGICAL SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist

General Provider Information

NPI Number : 1407878333
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPREHENSIVE PSYCHOLOGICAL SERVICES INC
Provider Business Mailing Address
First Line : 1208 E 3300 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-2522
Country : US
Telephone Number : 801-483-1600
Fax Number : 801-483-1610
Provider Business Practice Location Address
First Line : 1208 E 3300 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-2522
Country : US
Telephone Number : 801-483-1600
Fax Number : 801-483-1610
Authorized Official
Title or Position : CEO/PSYCHOLOGIST
Name : DR. STEVEN A SZYKULA
Credential : PH.D.
Telephone Number : 801-483-1600
Provider Enumeration Date : 07/23/2006
Last Update Date : 06/27/2017

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Directions to “COMPREHENSIVE PSYCHOLOGICAL SERVICES INC ” Practice Location

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