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Contact Information

LIFEPSYCH CORP
102 BROWNING LN
BLDG C, SUITE 5
CHERRY HILL, NJ08003-3195
 Phone: 856-857-0881
 Fax: 610-361-9078
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIFEPSYCH CORP · (Female)

NPI Number 1720188014
Status Active
Credentials
Entity Individual
Enumeration date 09/25/2006
Last updated 07/14/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # SI03313
  • NJ Medicaid 84554302
  • NJ Other 3546773 AETNA
  • NJ Other 2319112000 AMERIA HEALTH
  • NJ Other 538606000 MAGELLAN
  • NJ Other 001664744 PERSONAL CHOICE
  • PA Other 2319112000 PA BC
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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