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Contact Information

LIFEGROWTH PSYCHOLOGICAL SERVICES
137 MONTGOMERY AVE
SUITE 105
BOYERTOWN, PA19512-1300
 Phone: 610-473-0277
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIFEGROWTH PSYCHOLOGICAL SERVICES · (Female)

NPI # 1396063806
Status Active
Credentials
Entity Individual
Enumeration date 05/07/2010
Last updated 12/07/2016 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # PS008248L
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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