Organization · Type 2 NPI
Life Span Psychological Services PC
Clinical Psychologist · Willow Street, PA
Practice location
28190 Willow St Pk
Willow Street, PA 17584
Fax (717) 464-4348
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | PC002382 (PA) |
| Clinical Psychologist Primary | 103TC0700X | PS006874L (PA) |
| Social Worker | 104100000X | SW011339L (PA) |
| Clinical Social Worker | 1041C0700X | SW123210L (PA) |
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…
About NPI 1912958356
Life Span Psychological Services PC's National Provider Identifier is 1912958356, issued on May 12, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Willow Street, PA. The record was last updated on Sep 11, 2025.