Organization
COMPREHENSIVE PSYCHOLOGICAL AND SPEECH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA STEWART PSY.D. - SPEECH THER (SOLE MEMBER)
(630) 852-7336
Entity
Organization
Contact information
Practice address
1047 S YORK RD, ELMHURST, IL 60126-5121
(630) 852-7336
(630) 852-8177
Mailing address
707 RIDGEVIEW ST, DOWNERS GROVE, IL 60516-3930
(630) 852-7336
(630) 852-8177
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005206
IL
235Z00000X
Speech-Language Pathologist
146001511
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02222567
BLUE CROSS BLUE SHIELD IL
IL
01
—
04922024
BLUE CROSS BLUE SHIELD IL
IL
05
—
108488561001
—
IL
Enumeration date
04/27/2009
Last updated
04/27/2009
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