Comprehensive Behavioral Services, Llc

NPI 1023221207 - Psychologist - 103TC1900X

NPI Details
NPI 1023221207
Enumeration Date 05/07/2007
Last Updated 06/26/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GAYLE GAYLE
Position PRESIDENT/COO
Phone (260) 492-5500
Fax (260) 492-5530
Practice Location
2809 E DUPONT RD
FORT WAYNE IN, 46825-1668, US
Phone (260) 492-5500
Fax (260) 492-5530
Business Location
2809 E DUPONT RD
FORT WAYNE IN, 46825-1668, US
Phone (260) 492-5500
Fax (260) 492-5530
Toxanomy
Taxonomy Code 103TC1900X
License State Indiana
License Number 2004070712A
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According to our database, Comprehensive Behavioral Services, Llc NPI is 1023221207, taxonomy code is 103TC1900X and license number is 2004070712A, license state is located at Indiana. Comprehensive Behavioral Services, Llc physically located at 2809 E Dupont Rd, Fort Wayne IN, 46825-1668. NPI Number 1033115704 has the healthcare provider type.

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1023221207 NPI number is provided on an as is basis without warranty of any kind. 1023221207 is maintained by the National Plan & Provider Enumeration System. The contents of Comprehensive Behavioral Services, Llc are for informational purposes only.