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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Adult Development & Aging |
103TA0700X | 62 | Psychologist, Clinical | |
Forensic |
103TF0200X | 62 | Psychologist, Clinical |
| NPI Number | 1396217816 |
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| LBN Legal business name | LIFESPARK PLLC | ||||||||
| Authorized official | JASON HOLLAND - (CEO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 12/21/2018 | ||||||||
| Last updated | 03/12/2026 - About 3 months ago | ||||||||
| Identifiers |
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LIFESPARK PLLC
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LIFESPARK PLLC