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Contact Information

LIFESPAN HEALTH NETWORK, A PSYCHOLOGY CORPORATION
4929 WILSHIRE BLVD
STE 510
LOS ANGELES, CA90010-3808
 Phone: 310-734-5579
 Fax: 310-734-5511
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIFESPAN HEALTH NETWORK A PSYCHOLOGY CORPORATION · (Female)

NPI Number 1740531789
Status Active
Credentials
Entity Individual
Enumeration date 10/01/2012
Last updated 11/30/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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