| Dr Lisa Clark, PHD | |
|
225 Medical Way, Riverdale, GA 30274-2522 | |
| (678) 519-1038 | |
| (770) 756-9195 |
| Full Name | Dr Lisa Clark |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 225 Medical Way, Riverdale, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952378226 | NPI | - | NPPES |
| 000910929H | Medicaid | GA | |
| 000910929K | Medicaid | GA | |
| 000910929L | Medicaid | GA | |
| 000910929I | Medicaid | GA | |
| 000910929G | Medicaid | GA | |
| 000910929E | Medicaid | GA | |
| 000910929F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY002509 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Clark, PHD 4557 Meadow Creek Path, Lithonia, GA 30038-7704 Ph: (678) 519-1038 | Dr Lisa Clark, PHD 225 Medical Way, Riverdale, GA 30274-2522 Ph: (678) 519-1038 |
Dr. Joyce Wingate-sligh, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1955 Levgard Ln, Riverdale, GA 30296 Phone: 770-997-3359 | |
Dr. Ann Lorene Brock, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6315 Garden Walk Blvd, Riverdale, GA 30274 Phone: 770-991-7420 Fax: 770-991-7429 |