Organization · Type 2 NPI

Lifesource of North Carolina

Psychologist · Milton, FL

NPI number 1730648288 Active

Practice location

5530 Northrop Rd
Milton, FL 32570-8701

Mailing address

PO Box 538622
Atlanta, GA 30353-8622

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XNone listed
Clinical Social Worker 1041C0700XNone listed
Psychiatry Physician 2084P0800XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

5 other providers at this address

About NPI 1730648288

Lifesource of North Carolina's National Provider Identifier is 1730648288, issued on Mar 14, 2019. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Milton, FL. The record was last updated on Mar 25, 2021.