Organization
LIFEPSYCH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LELAND D MOSBY PSYCHOLOGIST (PRESIDENT-CEO)
(856) 857-0881
Entity
Organization
Contact information
Practice address
102 BROWNING LN, BLDG C, SUITE 5, CHERRY HILL, NJ 08003-3195
(856) 857-0881
(610) 361-9078
Mailing address
102 BROWNING LN STE 5, CHERRY HILL, NJ 08003-3195
(856) 857-0881
(610) 361-9078
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
SI03313
NJ
103TF0200X
Forensic Psychologist
SI03313
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001664744
PERSONAL CHOICE
NJ
01
—
2319112000
AMERIA HEALTH
NJ
01
—
2319112000
PA BC
PA
01
—
3546773
AETNA
NJ
01
—
538606000
MAGELLAN
NJ
05
—
84554302
—
NJ
Enumeration date
09/25/2006
Last updated
07/14/2023
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