Female

Dr. Lisa L. Clark PH.D.

Clinical Psychologist in Cordova, TN(View on Map)

Full Name

Dr. Lisa L Clark PH.D.

NPI Number

1396754370

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/07/2006

Specialties

(Taxonomies)

Code

103TC0700X

Primary Taxonomy

Yes

Licenses

State

Tennessee

License Number

HSP-1188

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 341065
8134 COUNTRY VILLAGE DR

City

Memphis
Cordova

State

TN
TN

Postal Code

38184-1065
38016

Country

US
US

Telephone Number

(901) 385-2342
(901) 756-8398

Identifiers

Identifier

3682232

Identifier State

TN

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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