Lifespan Psychology, P.C.

LBN: Lifespan Psychology, P.C.
Lifespan Psychology, P.C. is an health care organization with primary practice located at 98 Voorhees Rd E , Hamilton GA 31811-5671. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is the primary health care specialty. Lifespan Psychology, P.C. can be contacted via phone (954) 260-0361, or through Weis, Kevin James via phone (954) 260-0361.

Contact Information

Primary practice address
98 Voorhees Rd E Hamilton GA 31811-5671
Fax:
Website:
Authorized official contact:
Name: Weis, Kevin James PSY.D.

Health care specialties

Profile Details

NPI number 1003205741
LBN Legal business name Lifespan Psychology, P.C.
DBA Doing business as
Authorized official Weis, Kevin James PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2015
Last updated Jan 22nd, 2015 - about 9 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1003205741 NPPES
Georgia MEDICAID 712348695A
Georgia MEDICAID 313423941A

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