DR. Lisa Clark, PH.D.

NPI #1952378226 in Riverdale, Georgia

Provider Information

NPI Number: 1952378226
Entity Type: Individual
Name: DR. Lisa Clark, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: Mar 4, 2006
Last Updated: Feb 10, 2011

Practice Location

Address: 225 MEDICAL WAY
City: Riverdale
State: Georgia
ZIP Code: 30274-2522
Phone: (678) 519-1038

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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