DR. LISA L CLARK PH.D.
NPI 1396754370
Psychologist - Clinical in Cordova, TN

Active since August 07, 2006
8134 COUNTRY VILLAGE DR, #102, CORDOVA, TN 38016(901) 756-8398(901) 756-8701 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lisa L Clark Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA L CLARK PH.D. (NPI 1396754370) is an individual clinical provider in Cordova, Tennessee, licensed in Tennessee (HSP-1188) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1396754370
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LISA L CLARKCredential: PH.D.
Location Address8134 COUNTRY VILLAGE DR, #102Cordova, TN 38016
Mailing AddressPo Box 341065Memphis, TN 38184-1065 · (901) 385-2342 · Fax (901) 382-0140
Fax(901) 756-8701
Sole ProprietorNo
Enumeration DateAugust 7, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1396754370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in TN · HSP-1188
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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
8134 COUNTRY VILLAGE DR, Cordova, TN 38016

Other Identifiers 2

Medicaid3682232TN
Medicare ID-Type Unspecified3682232TN

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
8134 COUNTRY VILLAGE DR, SUITE 102
CORDOVA, TN 38016
Psychologist (Clinical)
8134 COUNTRY VILLAGE DR, SUITE 102
CORDOVA, TN 38016
Psychologist
8134 COUNTRY VILLAGE DR, SUITE 102
CORDOVA, TN 38016
Psychiatry & Neurology (Neurology)
8134 COUNTRY VILLAGE DR, SUITE 102
CORDOVA, TN 38016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Clark's NPI number?

The NPI number for Lisa Clark is 1396754370. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Lisa Clark located?

Lisa Clark practices at 8134 Country Village Dr #102, Cordova, TN 38016. The listed phone number is (901) 756-8398.

What is Lisa Clark's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Lisa Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.