Life Span Psychological Services Pc

LBN: Life Span Psychological Services Pc
Life Span Psychological Services Pc is an health care organization with primary practice located at 28190 Willow St Pk , Willow Street PA 17584. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Life Span Psychological Services Pc can be contacted via phone (717) 464-1464, or through Ruch, Lynnette G via phone (717) 464-1464.

Contact Information

Primary practice address
28190 Willow St Pk Willow Street PA 17584
Phone: (717) 464-1464
Fax: (717) 464-4348
Website:
Map and Directions
Authorized official contact:
Name: Ruch, Lynnette G PHD
Phone: (717) 464-1464

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC002382 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS006874L Pennsylvania
Behavioral Health & Social Service Providers / Social Worker 104100000X SW011339L Pennsylvania
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW123210L Pennsylvania

Profile Details

NPI number 1912958356
LBN Legal business name Life Span Psychological Services Pc
DBA Doing business as
Authorized official Ruch, Lynnette G PHD
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2006
Last updated Sep 11th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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