Life Span Psychological Services Pc in Willow Street - Clinical
Life Span Psychological Services Pc - NPI 1912958356
Life Span Psychological Services Pc is a Clinical in Willow Street, Pennsylvania. Life Span Psychological Services Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Life Span Psychological Services Pc is 1912958356. The last update date is 2020-08-22.
Life Span Psychological Services Pc's current location address is 28190 Willow St Pk, Willow Street, Pennsylvania. You can contact this provider via phone number 7174641464 and fax number 7174644348. The mailing address for Life Span Psychological Services Pc is 28190 Willow St Pk, Willow Street, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Life Span Psychological Services Pc |
|---|---|
| Address | 28190 Willow St Pk, Willow Street, Pennsylvania |
| Phone Number | 7174641464 |
| Fax Number | 7174644348 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHD |
|---|---|
| Authorized Official Name | Ruch G Lynnette |
| Credentials | PHD |
| Telephone Number | 7174641464 |
NPI Number Detail
| NPI Number | 1912958356 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 28190 Willow St Pk |
|---|---|
| City | Willow Street |
| State | Pennsylvania (PA) |
| Post Code | 17584 |
| Phone Number | 7174641464 |
| Fax Number | 7174644348 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS006874L |
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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 provider identifier assigned to Life Span Psychological Services Pc?
The Life Span Psychological Services Pc has been issued the NPI (National Provider Identifier) 1912958356 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Life Span Psychological Services Pc?
The Life Span Psychological Services Pc is physically situated at 28190 Willow St Pk, in the city of Willow Street, state of PA, with the postal code 17584.
What is the area of specialization for Life Span Psychological Services Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Life Span Psychological Services Pc is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912958356 to Life Span Psychological Services Pc?
The Centers for Medicare & Medicaid Services originally issued the 1912958356 to Life Span Psychological Services Pc on 2006-05-12.
As of what date was the information regarding Life Span Psychological Services Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Life Span Psychological Services Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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