NPI age
11 years
Enumerated 2015-01-19
● Active Type 2 · Organization
Lifespan Psychology, P.c.
Lifespan Psychology, P.c. is 1 of 148 clinical child & adolescent (psychologist) organizations in Georgia.
Primary specialty
Clinical Child & Adolescent (Psychologist)
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Weis
Chairman
Last NPPES update
2015-01-22
Source: CMS NPPES provider record
How this organization compares
Across 148 active clinical child & adolescent (psychologist) providers in Georgia.
NPI age
11 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 35% of peers with subspecialties
NPI lifetime · 2015 → 2015
2015-01Enumerated in NPPES
2015
2015
Where they practice
Primary practice location
98 Voorhees Rd E
Hamilton, GA 318115671
Mailing address
98 Voorhees Rd E
Hamilton, GA 318115671
Authorized official
Kevin James Weis, PSY.D.
Chairman
📞 9542600361
Specialties
-
Psychologist PrimaryA psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical...
-
Clinical NeuropsychologistA clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 313423941A | |
| 05 (GA) | 712348695A |
Practice context
Single-site organization. Only one practice location on file.
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