National Provider Identifier Database

LIFE IN BALANCE A PROFESSIONAL PSYCHOLOGY CORPORATION
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

LIFE IN BALANCE, A PROFESSIONAL PSYCHOLOGY CORPORATION
1720 S AMPHLETT BLVD
SUITE 220-C
SAN MATEO, CA94402-2702
Phone: 650-847-0185
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for LIFE IN BALANCE, A PROFESSIONAL PSYCHOLOGY CORPORATION

NPI Number 1831367275
Legal business name
LBN
LIFE IN BALANCE, A PROFESSIONAL PSYCHOLOGY CORPORATION
Authorized official AIMEE JORDAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/19/2008
Last updated 06/26/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 26253

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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