Provider Demographics
NPI:1326462508
Name:COMPREHENSIVE HEALTH LAW SERVICES, LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE HEALTH LAW SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:PFLUGRADT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:414-552-6289
Mailing Address - Street 1:104 N MAIN ST STE 120
Mailing Address - Street 2:
Mailing Address - City:WAUPACA
Mailing Address - State:WI
Mailing Address - Zip Code:54981-1594
Mailing Address - Country:US
Mailing Address - Phone:414-552-6289
Mailing Address - Fax:
Practice Address - Street 1:104 N MAIN ST STE 120
Practice Address - Street 2:
Practice Address - City:WAUPACA
Practice Address - State:WI
Practice Address - Zip Code:54981-1594
Practice Address - Country:US
Practice Address - Phone:414-552-6289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2876-57103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty