Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Span Psychological Services PC

Organization Professional Counselor · NPI 1912958356

Life Span Psychological Services PC is a Professional Counselor in Willow Street, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

28190 Willow St Pk
Willow Street, PA 17584
Phone: (717) 464-1464
Fax: (717) 464-4348
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS006874L (PA)
Professional Counselor Taxonomy 101YP2500X · Licence PC002382 (PA)
Social Worker Taxonomy 104100000X · Licence SW011339L (PA)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW123210L (PA)

Record details

NPI number1912958356
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynnette Ruch — Phd · (717) 464-1464
NPI enumeratedMay 12, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address28190 Willow St Pk, Willow Street, PA 17584

Other providers in Willow Street