Provider Demographics
NPI:1174532501
Name:COMPREHENSIVE SOCIAL-PSYCHOLOGICAL SERVICES, P.A.
Entity type:Organization
Organization Name:COMPREHENSIVE SOCIAL-PSYCHOLOGICAL SERVICES, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/CONSULTANT
Authorized Official - Prefix:DR
Authorized Official - First Name:KIT
Authorized Official - Middle Name:PRISCILLANN
Authorized Official - Last Name:DEVRIES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:603-224-5513
Mailing Address - Street 1:2 S SPRING ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2424
Mailing Address - Country:US
Mailing Address - Phone:603-226-3757
Mailing Address - Fax:602-336-3757
Practice Address - Street 1:2 S SPRING ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2424
Practice Address - Country:US
Practice Address - Phone:603-226-3757
Practice Address - Fax:602-336-3757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH604101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty