LIFESPAN PSYCHOLOGICAL SERVICES

Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

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Contact Information

LIFESPAN PSYCHOLOGICAL SERVICES

801 W MILLS ST
SIUTE B
COLUMBUS, NC 28722-8494

Phone: 828-894-2300
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinical	103TC0700X	62	Psychologist, Clinical

Indicates primary specialty

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NPI Profile & details for LIFESPAN PSYCHOLOGICAL SERVICES

NPI # 1376705640

LBN Legal business name LIFESPAN PSYCHOLOGICAL SERVICES

Authorized official GORDON SCHNEIDER - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/27/2008

Last updated 09/05/2008 - About 18 years ago

Identifiers

NC	License #	1908
NC	Medicaid	6000122

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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