Provider Demographics
NPI:1891858288
Name:COMEAU, HELEN M (PHD)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:M
Last Name:COMEAU
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 HARVEST HILL DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-6098
Mailing Address - Country:US
Mailing Address - Phone:972-772-9911
Mailing Address - Fax:972-772-1843
Practice Address - Street 1:140 HARVEST HILL DR
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6098
Practice Address - Country:US
Practice Address - Phone:972-772-9911
Practice Address - Fax:469-338-5818
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX24484103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00000H96RMedicare ID - Type UnspecifiedPROVIDER ID