Lisa Clark is a Clinical in Lithonia, Georgia. Lisa Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Clark is 1952378226. The last update date is 2011-02-10.
Lisa Clark's current location address is 4557 Meadow Creek Path, Lithonia, Georgia. You can contact this provider via phone number 6785191038 and fax number 7707569195. The mailing address for Lisa Clark is 4557 Meadow Creek Path, Lithonia, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Clark |
|---|---|
| Address | 4557 Meadow Creek Path, Lithonia, Georgia |
| Phone Number | 6785191038 |
| Fax Number | 7707569195 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1952378226 |
|---|---|
| Provider Enumeration Date | 2006-03-04 |
| Last Updated Date | 2011-02-10 |
Provider Mailing Address Detail
| Address | 4557 Meadow Creek Path |
|---|---|
| City | Lithonia |
| State | Georgia (GA) |
| Post Code | 300387704 |
| Phone Number | 6785191038 |
| Fax Number | 7707569195 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY002509 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000910929H | GA | -- | |
| 000910929K | GA | -- | |
| 000910929L | GA | -- | |
| 000910929I | GA | -- | |
| 000910929G | GA | -- | |
| 000910929E | GA | -- | |
| 000910929F | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lisa Clark by the Centers for Medicare & Medicaid Services?
The Lisa Clark has been assigned the NPI (National Provider Identifier) 1952378226. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lisa Clark located?
The Lisa Clark is located at 4557 Meadow Creek Path, Lithonia, GA 300387704.
What is Lisa Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lisa Clark is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
When did Lisa Clark receive its 1952378226 assignment?
The Lisa Clark was assigned its 1952378226 on 2006-03-04, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Lisa Clark most recently updated or revised?
The details related to Lisa Clark, including its address, specialty, and other relevant information, were last updated or revised on 2011-02-10.