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LIFE SPAN PSYCHOLOGICAL SERVICES PC NPI 1912958356


NPI Information

NPI: 1912958356
Provider Name: LIFE SPAN PSYCHOLOGICAL SERVICES PC
Classification: Social Worker - 104100000X
Entity Type: Organization
Address:
28190 WILLOW ST PK
WILLOW STREET, PA
ZIP 17584
Phone: (717) 464-1464
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LIFE SPAN PSYCHOLOGICAL SERVICES PC is a social worker in Willow Street, PA. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. LIFE SPAN PSYCHOLOGICAL SERVICES PC NPI is 1912958356. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

28190 WILLOW ST PK
WILLOW STREET, PA
ZIP 17584
Phone: (717) 464-1464
Fax: (717) 464-4348

The provider's authorized official is Lynnette G Ruch .
The authorized official title is Phd and has the following contact phone number (717) 464-1464.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 8/22/2020.


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
1104100000XSocial WorkerSW011339LPENNSYLVANIAYes
21041C0700XSocial WorkerClinicalSW123210LPENNSYLVANIAX
3101YP2500XCounselorProfessionalPC002382PENNSYLVANIAX
4103TC0700XPsychologistClinicalPS006874LPENNSYLVANIAX

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.