| Lifespan Associates | |
|
120 Greenwood Ave Wyncote PA 19095-1514 | |
| (215) 881-9000 | |
| (215) 881-7129 |
| Full Name | Lifespan Associates |
|---|---|
| Speciality | Psychologist |
| Location | 120 Greenwood Ave, Wyncote, Pennsylvania |
| Authorized Official Name and Position | Nancy B Schneider (PRESIDENT) |
| Authorized Official Contact | 2158819000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Associates 120 Greenwood Ave Wyncote PA 19095-1514 Ph: (215) 881-9000 | Lifespan Associates 120 Greenwood Ave Wyncote PA 19095-1514 Ph: (215) 881-9000 |
| NPI Number | 1700146941 |
|---|---|
| Provider Enumeration Date | 05/22/2012 |
| Last Update Date | 05/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700146941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS005472L (Pennsylvania) | Primary |
| 103T00000X | Psychologist | B1-0000390 (Delaware) | Secondary |
| 103T00000X | Psychologist | 0810004259 (Virginia) | Secondary |
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