David Lisak, PHD

NPI #1629562269 in Placitas, New Mexico

Provider Information

NPI Number: 1629562269
Entity Type: Individual
Name: David Lisak, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Forensic
Credential: PHD
Enumeration Date: Jun 18, 2018
Last Updated: Jun 18, 2018

Practice Location

Address: 42 AGUA SARCA RD
City: Placitas
State: New Mexico
ZIP Code: 87043-9404
Phone: (617) 947-4119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Forensic — Forensic	103TF0200X	Primary

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