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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