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Contact Information

LIFESPAN COUNSELING CENTER LLC
729 GROVE AVE
SUITE 3
SOUTHAMPTON, PA18966-6008
 Phone: 215-355-8812
 Fax: 215-355-0926
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIFESPAN COUNSELING CENTER LLC · (Female)

NPI Number 1104287564
Status Active
Credentials
Entity Individual
Enumeration date 03/14/2016
Last updated 03/14/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # PA-003501-L
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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