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

Lifespan Psychology Services, LLC

Organization Psychologist · NPI 1770844433

Lifespan Psychology Services, LLC is a Psychologist in Tampa, Florida. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4201 Bayshore Blvd Unit 1603
Tampa, FL 33611-1669
Phone: (617) 784-0771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1770844433
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Athena Gordon — President · (617) 784-0771
NPI enumeratedMay 30, 2012
Last updated in NPPESMay 30, 2012
Mailing address4201 Bayshore Blvd, Unit 1603, Tampa, FL 33611-1669

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