Organization · Type 2 NPI

Lifespan Psychological Services, PS

Clinical Psychologist · Bainbridge Island, WA

NPI number 1366503633 Active

Practice location

11290 Sunrise Dr NE, Suite B
Bainbridge Island, WA 98110-1353

Fax (206) 780-1964

Mailing address

11290 Sunrise Dr NE Ste B
Bainbridge Island, WA 98110-1353

Other practice locations

  • 1990 E Lohman Ave, Las Cruces, NM 88001-3172 · (206) 780-7782

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed
Prescribing (Medical) Psychologist 103TP0016XNone listed

Clinical Psychologist: 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 discip…

6 other providers at this address

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About NPI 1366503633

Lifespan Psychological Services, PS's National Provider Identifier is 1366503633, issued on Dec 12, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Bainbridge Island, WA. The record was last updated on Sep 26, 2025.