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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LIFESPARK PLLC

Active Organization

LIFESPARK PLLC is a Clinical Psychologist organization located in GALLATIN, Tennessee. NPI 1396217816 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · GALLATIN, TN

Registration Details

NPI Number
1396217816
Provider Type
Organization
NPI Issued
Dec 21, 2018 (7.6606001810555 yrs)
Last Updated
Sep 9, 2019

Practice Information

Address
106 PUBLIC SQ STE 105
GALLATIN, TN, 37066
Browse TN providers · Browse ZIP 37066
Phone
6156750025
Fax
6156750026
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Forensic Psychologist
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Organizations in GALLATIN, TN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.