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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 Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

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

NPI Number 1831367275
LBN Legal business name LIFE IN BALANCE, A PROFESSIONAL PSYCHOLOGY CORPORATION
Authorized official AIMEE JORDAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/19/2008
Last updated 06/26/2014 - About 12 years ago
Identifiers
CA License # 26253
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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