Lifespan Physician Group Inc is a Counselor Clinic in Providence, Rhode Island. This organization is also known as sub part of Lifespan Corporation. It is located at 593 Eddy Street, Providence, RI and its contact number is 401-444-7442. The authorized person for Lifespan Physician Group Inc is Mr. Peter K Markell
who is Evp & Cfo of the clinic and his/her contact number is 401-444-7914.
Lifespan Physician Group Inc Clinic has individuals who are licensure in clinical psychology and has done specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology. Neuropsychology is a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Complete Clinic Profile:
Lifespan Physician Group Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Lifespan Physician Group Inc |
| Specialization: | Clinical Neuropsychologist |
| Clinic Address: | 593 Eddy Street, Providence,
Rhode Island, 02903 |
| Phone: | 401-444-7442 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Peter K Markell |
| Position: | Evp & Cfo |
| Contact Number: | 401-444-7914 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lifespan Physician Group Inc clinic are as mentioned below.
| NPI Number: | 1548506793 |
| Parent Organization: | Lifespan Corporation |
| NPI Enumeration Date: | 17 Dec, 2012 |
| NPI Last Update On: | 03 Apr, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lifespan Physician Group Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Psychiatry | | | Primary | |
| Clinical Neuropsychologist | | | Secondary | |
| Behavioral Neurology & Neuropsychiatry | | | Secondary | |
| Clinical | | | Secondary | |
| Psych/Mental Health | | | Secondary | |
| Clinical Child & Adolescent | | | Secondary | |
| Clinical Neurophysiology | | | Secondary | |
| Psychologist | | | Secondary | |
| Neurology | | | Secondary | |
| Clinical | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lifespan Physician Group Inc
117 Ellenfield St Ste 101,
Providence, Rhode Island |
| Zip: | 02905-4541 |
| Phone Number: | 401-444-6779 |
Patients can reach Lifespan Physician Group Inc at
593 Eddy Street, Providence, Rhode Island or can
call to book an appointment on 401-444-7442.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.