LIFESPAN PSYCHOLOGY P.C. NPI 1003205741

NPI Information

NPI: 1003205741
Provider Name: LIFESPAN PSYCHOLOGY, P.C.
Classification: Psychologist - 103TC2200X
Specialization: Clinical Child & Adolescent
Entity Type: Organization
Address: 98 VOORHEES RD E
HAMILTON, GA
ZIP 31811
Phone: (954) 260-0361

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NPI Details

LIFESPAN PSYCHOLOGY, P.C. is a clinical child and adolescent psychologist in Hamilton, GA. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. LIFESPAN PSYCHOLOGY, P.C. NPI is 1003205741. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

98 VOORHEES RD E
HAMILTON, GA
ZIP 31811-671
Phone: (954) 260-0361

The provider's authorized official is Kevin James Weis .
The authorized official title is Chairman and has the following contact phone number (954) 260-0361.

The enumeration date for this NPI number is 1/19/2015 and was last updated on 1/22/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist		PSY003141	GEORGIA	No
2	103TC2200X	Psychologist	Clinical Child & Adolescent	PSY003142	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	712348695A	MEDICAID	GEORGIA
2	511I260052	MEDICARE PIN	GEORGIA
3	313423941A	MEDICAID	GEORGIA
4	511I680023	MEDICARE PIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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