Organization
LIFEGROWTH PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN RANALLI MORRISON PH.D. (OWNER)
(800) 689-0250
Entity
Organization
Contact information
Practice address
137 MONTGOMERY AVE, SUITE 105, BOYERTOWN, PA 19512-1300
(610) 473-0277
Mailing address
137 MONTGOMERY AVE STE 105, BOYERTOWN, PA 19512-1300
(800) 689-0250
(484) 363-4015
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS008248L
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS008248L
PA
103TF0000X
Family Psychologist
PS008248L
PA
Other
Enumeration date
05/07/2010
Last updated
12/07/2016
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