Whalio Doctors

NPI 1003205741

Lifespan Psychology, P.C.

Organisation Clinical Child & Adolescent Psychologist Hamilton, GA

Practice location

Address
98 Voorhees Rd E, Hamilton, GA 31811-5671
Phone
(954) 260-0361

Authorised official

Name
Kevin James Weis
Title
Chairman
Phone
(954) 260-0361

Registered specialties (2)

Clinical Child & Adolescent Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence PSY003142 (GA)
Clinical Neuropsychologist
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PSY003141 (GA)

Registry record

NPI
1003205741
Entity type
Organization
NPI issued
19 Jan 2015
Record last updated
22 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.