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Contact Information

LIFESPAN PSYCHOLOGICAL SERVICES, PS
11290 SUNRISE DR NE
SUITE B
BAINBRIDGE ISLAND, WA98110-1353
 Phone: 206-780-7782
 Fax: 206-780-1964
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIFESPAN PSYCHOLOGICAL SERVICES, PS

NPI Number 1366503633
LBN Legal business name LIFESPAN PSYCHOLOGICAL SERVICES, PS
Authorized official STEVEN CURTIS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2006
Last updated 09/26/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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