Organization
DELAWARE COUNTY PROFESSIONAL SERVICES, INC
Active
Organization
DELAWARE COUNTY PROFESSIONAL SERVICES, INC
Active
Other names
LifeStance Health, LifeStance
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PARDO (AUTHORIZED OFFICIAL)
(206) 399-1493
Entity
Organization
Contact information
Practice address
1055 E BALTIMORE PIKE STE 303, MEDIA, PA 19063-5173
(610) 892-3800
(484) 468-1412
Mailing address
1055 E BALTIMORE PIKE STE 303, MEDIA, PA 19063-5173
(610) 892-3800
(484) 468-1412
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/25/2006
Last updated
08/13/2024
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