Lisa L Clark is a Clinical in Cordova, Tennessee. Lisa L Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa L Clark is 1396754370. The last update date is 2007-07-08.
Lisa L Clark's current location address is 8134 Country Village Dr, Cordova, Tennessee. You can contact this provider via phone number 9017568398 and fax number 9017568701. The mailing address for Lisa L Clark is 8134 Country Village Dr, Cordova, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa L Clark |
|---|---|
| Address | 8134 Country Village Dr, Cordova, Tennessee |
| Phone Number | 9017568398 |
| Fax Number | 9017568701 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1396754370 |
|---|---|
| Provider Enumeration Date | 2006-08-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8134 Country Village Dr |
|---|---|
| City | Cordova |
| State | Tennessee (TN) |
| Post Code | 38016 |
| Phone Number | 9017568398 |
| Fax Number | 9017568701 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | HSP-1188 |
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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 |
|---|---|---|---|
| 3682232 | TN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Lisa L Clark by the Centers for Medicare & Medicaid Services?
The Lisa L Clark has been issued the NPI (National Provider Identifier) 1396754370. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lisa L Clark is physically located?
The Lisa L Clark is situated at the following address: 8134 Country Village Dr, Cordova, TN 38016.
What is Lisa L Clark's area of expertise and its corresponding taxonomy classification?
The Lisa L Clark's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396754370 to Lisa L Clark?
The Centers for Medicare & Medicaid Services originally issued the 1396754370 to Lisa L Clark on 2006-08-07.
As of what date were the details pertaining to Lisa L Clark last refreshed?
The information related to the Lisa L Clark, including its address, specialty, and other relevant details, was last updated on 2007-07-08.