| NPI | 1073649521 |
|---|---|
| Doing Business As | LIFESTANCE HEALTH |
| Entity Type | Organization |
| Authorized Contact | RYAN PARDO Authorized Official 206-399-1493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2023-12-22 |