Organization
COMPREHENSIVE PSYCHOTHERAPY NETWORK,INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY KAREN PERSENAIRE L.C.S.W. (PRESIDENT)
(561) 967-3266
Entity
Organization
Contact information
Practice address
1825 FOREST HILL BLVD, SUITE 103, WEST PALM BEACH, FL 33406-8902
(561) 967-3266
(561) 968-1565
Mailing address
1825 FOREST HILL BLVD, SUITE 103, WEST PALM BEACH, FL 33406-8902
(561) 967-3266
(561) 968-1565
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW000866
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z1858
MEDICARE PTAN
FL
Enumeration date
11/02/2012
Last updated
11/02/2012
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