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

LIFE SPAN PSYCHOLOGICAL SERVICES PC

Active Organization

LIFE SPAN PSYCHOLOGICAL SERVICES PC is a Clinical Psychologist organization located in WILLOW STREET, Pennsylvania. NPI 1912958356 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · WILLOW STREET, PA

Registration Details

NPI Number
1912958356
Provider Type
Organization
NPI Issued
May 12, 2006 (20.074343837754 yrs)
Last Updated
Sep 11, 2025
Licenses
SW011339L (PA)
SW123210L (PA)
PC002382 (PA)
PS006874L (PA)

Practice Information

Address
28190 WILLOW ST PK
WILLOW STREET, PA, 17584
Browse PA providers · Browse ZIP 17584
Phone
7174641464
Fax
7174644348
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Social Worker
Additional Specialty
Professional Counselor
Additional Specialty
Clinical Psychologist
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.