National Provider Identifier Database

LIFE SPAN PSYCHOLOGICAL SERVICES PC
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 SPAN PSYCHOLOGICAL SERVICES PC
28190 WILLOW ST PK
WILLOW STREET, PA17584
Phone: 717-464-1464
Fax: 717-464-4348
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Clinical 1041C0700X
Professional 101YP2500X
Social Worker 104100000X

* Indicates primary specialty

NPI Profile & details for LIFE SPAN PSYCHOLOGICAL SERVICES PC

NPI Number 1912958356
Legal business name
LBN
LIFE SPAN PSYCHOLOGICAL SERVICES PC
Authorized official LYNNETTE RUCH - (PHD)
Entity Organization
Organization subpart No
Enumeration date 05/12/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: PC002382
  • PA License #: PS006874L
  • PA License #: SW011339L
  • PA License #: SW123210L

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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