| NPI | 1720194335 |
|---|---|
| Doing Business As | LIFESTANCE PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | RYAN PARDO Chief Legal Officer 425-279-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2024-07-02 |