MEDICARE: LIFESPAN PSYCHOLOGICAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	0810003847	VA

General Provider Information

NPI Number	:	1285979328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFESPAN PSYCHOLOGICAL SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 9252
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20195-3152
Country	:	US
Telephone Number	:	703-596-9476
Fax Number	:

Provider Business Practice Location Address
First Line	:	5250 CHEROKEE AVE
Second Line	:	SUITE 411
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-2052
Country	:	US
Telephone Number	:	703-596-9476
Fax Number	:

Authorized Official
Title or Position	:	LICENSED CLINICAL PSYCHOLOGIST
Name	:	CHRISTINA RALPH
Credential	:	PH.D.
Telephone Number	:	703-596-9476

Provider Enumeration Date	:	11/30/2012
Last Update Date	:	03/09/2015

Similar Medicare Providers

1710665096 — LEONA BATES LCSW
Practice Location Address:

5250 CHEROKEE AVE STE 211
ALEXANDRIA, VA
22312-2052

Practice Phone: 703-764-4274
Practice Fax:

1992524763 — KATIE BOGGS LPC
Practice Location Address:

5250 CHEROKEE AVE STE 211
ALEXANDRIA, VA
22312-2052

Practice Phone: 703-286-7899
Practice Fax:

1679377899 — HELEN YANG LCSW
Practice Location Address:

5250 CHEROKEE AVE STE 211
ALEXANDRIA, VA
22312-2052

Practice Phone: 703-763-4274
Practice Fax:

1104879188 — CHRISTINA RALPH PH.D
Practice Location Address:

5250 CHEROKEE AVE , SUITE 411
ALEXANDRIA, VA
22312-2052

Practice Phone: 703-596-9476
Practice Fax:

1417551656 — SEASONS OF GROWTH LLC
Practice Location Address:

5250 CHEROKEE AVE , SUITE 211
ALEXANDRIA, VA
22312-2052

Practice Phone: 703-763-4274
Practice Fax:

1639849508 — KRISTIN PERRY
Practice Location Address:

5250 CHEROKEE AVE STE 301
ALEXANDRIA, VA
22312-2052

Practice Phone: 703-647-2762
Practice Fax:

Directions to “LIFESPAN PSYCHOLOGICAL SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.