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LIFE SPAN PSYCHOLOGICAL SERVICES PC
NPI 1912958356
Psychologist - Clinical in Willow Street, PA

Active since May 12, 2006
28190 WILLOW ST PK, WILLOW STREET, PA 17584(717) 464-1464(717) 464-4348 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Life Span Psychological Services Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE SPAN PSYCHOLOGICAL SERVICES PC (NPI 1912958356) is a healthcare organization registered as a clinical in Willow Street, Pennsylvania and active in the NPI registry since May 2006. The organization lists Lynnette G Ruch, Phd, as its authorized official.

NPPES Registry Identity

NPI1912958356
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLIFE SPAN PSYCHOLOGICAL SERVICES PC
Location Address28190 WILLOW ST PKWillow Street, PA 17584
Mailing Address28190 Willow St PkWillow Street, PA 17584 · (717) 464-1464 · Fax (717) 464-4348
Phone(717) 464-1464
Fax(717) 464-4348
Organization SubpartNo
Authorized OfficialLynnette G RuchPhd · (717) 464-1464
Enumeration DateMay 12, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1912958356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PA · PS006874L
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License PC002382 (PA)
Also ListedSocial WorkerTaxonomy 104100000X · License SW011339L (PA)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License SW123210L (PA)

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Span Psychological Services PC's NPI number?

The NPI number for Life Span Psychological Services PC is 1912958356. It was assigned to this organization in the NPPES registry on May 12, 2006.

Where is Life Span Psychological Services PC located?

Life Span Psychological Services PC is located at 28190 Willow St Pk, Willow Street, PA 17584. The listed phone number is (717) 464-1464.

What is Life Span Psychological Services PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Life Span Psychological Services PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.