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Contact Information

LIFE SPAN PSYCHOLOGICAL SERVICES PC
28190 WILLOW ST PK
WILLOW STREET, PA17584
 Phone: 717-464-1464
 Fax: 717-464-4348
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Professional

101YP2500X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for LIFE SPAN PSYCHOLOGICAL SERVICES PC · (Female)

NPI Number 1912958356
Status Active
Credentials
Entity Individual
Enumeration date 05/12/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # PC002382
  • PA License # PS006874L
  • PA License # SW011339L
  • PA License # SW123210L
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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