Lifespan Psychological Associates, Llc in Ridgewood - Clinical
Lifespan Psychological Associates, Llc - NPI 1235355769
Lifespan Psychological Associates, Llc is a Clinical in Ridgewood, New Jersey. Lifespan Psychological Associates, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lifespan Psychological Associates, Llc is 1235355769. The last update date is 2020-08-22.
Lifespan Psychological Associates, Llc's current location address is 615 Franklin Tpke Ste 1, Ridgewood, New Jersey. You can contact this provider via phone number 2014440090 and fax number 2014441566. The mailing address for Lifespan Psychological Associates, Llc is 615 Franklin Tpke Ste 1, Ridgewood, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifespan Psychological Associates, Llc |
|---|---|
| Address | 615 Franklin Tpke Ste 1, Ridgewood, New Jersey |
| Phone Number | 2014440090 |
| Fax Number | 2014441566 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Sterling Cheryl |
| Credentials | PHD |
| Telephone Number | 2014440090 |
NPI Number Detail
| NPI Number | 1235355769 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 615 Franklin Tpke Ste 1 |
|---|---|
| City | Ridgewood |
| State | New Jersey (NJ) |
| Post Code | 74501903 |
| Phone Number | 2014440090 |
| Fax Number | 2014441566 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code assigned to Lifespan Psychological Associates, Llc by the Centers for Medicare & Medicaid Services?
The Lifespan Psychological Associates, Llc has been issued the NPI (National Provider Identifier) 1235355769 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Lifespan Psychological Associates, Llc?
The Lifespan Psychological Associates, Llc is situated at 615 Franklin Tpke Ste 1, in the city of Ridgewood, state of NJ, with the zip code 74501903.
What is Lifespan Psychological Associates, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lifespan Psychological Associates, Llc's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1235355769 to Lifespan Psychological Associates, Llc?
The Lifespan Psychological Associates, Llc received its 1235355769 assignment from the Centers for Medicare & Medicaid Services on 2007-04-17.
As of what date were the details pertaining to Lifespan Psychological Associates, Llc last refreshed?
The information related to the Lifespan Psychological Associates, Llc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
NPI Number: 1083602577
Address: 11535 Carmel Commons Blvd, Charlotte, NC