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Contact Information

LIFEGROWTH PSYCHOLOGICAL SERVICES
137 MONTGOMERY AVE
SUITE 105
BOYERTOWN, PA19512-1300
 Phone: 610-473-0277
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIFEGROWTH PSYCHOLOGICAL SERVICES

NPI Number 1396063806
LBN Legal business name LIFEGROWTH PSYCHOLOGICAL SERVICES
Authorized official CARMEN MORRISON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/07/2010
Last updated 12/07/2016 - About 9 years ago
Identifiers
PA License # PS008248L
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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