| Comprehensive Psychological Services | |
|
274 Route 970 Blakeslee Square Blakeslee PA 18610-0604 | |
| (570) 643-0222 | |
| (570) 643-0224 |
| Full Name | Comprehensive Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 274 Route 970, Blakeslee, Pennsylvania |
| Authorized Official Name and Position | Sara J Cornell (OWNER) |
| Authorized Official Contact | 5706430222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Psychological Services 274 Route 940 Po Box 604 Blakeslee PA 18610-0604 Ph: (570) 643-0222 | Comprehensive Psychological Services 274 Route 970 Blakeslee Square Blakeslee PA 18610-0604 Ph: (570) 643-0222 |
| NPI Number | 1336447309 |
|---|---|
| Provider Enumeration Date | 03/01/2011 |
| Last Update Date | 08/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336447309 | NPI | - | NPPES |
| 101894788 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS016217 (Pennsylvania) | Primary |
Ajbs Behavior Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 353 Arthurs Way, Blakeslee, PA 18610 Phone: 570-350-1358 |