National Provider Identifier Database

LIFEPSYCH CORP
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.


Contact Information

LIFEPSYCH CORP
102 BROWNING LN
BLDG C, SUITE 5
CHERRY HILL, NJ08003-3195
Phone: 856-857-0881
Fax: 610-361-9078
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Forensic 103TF0200X

* Indicates primary specialty

NPI Profile & details for LIFEPSYCH CORP

NPI Number 1720188014
Legal business name
LBN
LIFEPSYCH CORP
Authorized official LELAND MOSBY - (PRESIDENT-CEO)
Entity Organization
Organization subpart No
Enumeration date 09/25/2006
Last updated 07/14/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: SI03313
  • NJ Medicaid: 84554302
  • NJ Other: 3546773 AETNA
  • NJ Other: 2319112000 AMERIA HEALTH
  • NJ Other: 538606000 MAGELLAN
  • NJ Other: 001664744 PERSONAL CHOICE
  • PA Other: 2319112000 PA BC

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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