Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LIFE SPAN PSYCHOLOGICAL SERVICES PC
Active OrganizationLIFE 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 PKWILLOW STREET, PA, 17584Browse 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.