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Organization

LIFESPAN ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NANCY B SCHNEIDER PH.D. (PRESIDENT)
(215) 881-9000
Entity
Organization

Contact information

Practice address
120 GREENWOOD AVE, WYNCOTE, PA 19095-1514
(215) 881-9000
(215) 881-7129
Mailing address
120 GREENWOOD AVE, WYNCOTE, PA 19095-1514
(215) 881-9000
(215) 881-7129

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
0810004259
VA
103T00000X
Psychologist
B1-0000390
DE
103T00000X
Psychologist
Primary
PS005472L
PA

Other

Enumeration date
05/22/2012
Last updated
05/22/2012
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