| Lifespire | |
|
207 House Ave Ste 109 Camp Hill PA 17011-2308 | |
| (717) 745-6166 | |
| Not Available |
| Full Name | Lifespire |
|---|---|
| Speciality | Psychologist |
| Location | 207 House Ave Ste 109, Camp Hill, Pennsylvania |
| Authorized Official Name and Position | Jamie Marie Bolton (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7177456166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespire 207 House Ave Ste 109 Camp Hill PA 17011-2308 Ph: (717) 745-6166 | Lifespire 207 House Ave Ste 109 Camp Hill PA 17011-2308 Ph: (717) 745-6166 |
| NPI Number | 1356770192 |
|---|---|
| Provider Enumeration Date | 11/02/2013 |
| Last Update Date | 03/03/2020 |
| Certification Date | 03/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356770192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | PS017227 (Pennsylvania) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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