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DR. LISA CLARK PH.D.
NPI 1952378226
Psychologist - Clinical in Riverdale, GA

Active since March 04, 2006
225 MEDICAL WAY, RIVERDALE, GA 30274(678) 519-1038(770) 756-9195 Get Directions Write a Review

NPPES record last updated: February 10, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Lisa Clark Ph.d. NPPES

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

DR. LISA CLARK PH.D. (NPI 1952378226) is an individual clinical provider in Riverdale, Georgia, licensed in Georgia (PSY002509) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1952378226
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LISA CLARKCredential: PH.D.
Location Address225 MEDICAL WAYRiverdale, GA 30274-2522
Mailing Address4557 Meadow Creek PathLithonia, GA 30038-7704 · (678) 519-1038 · Fax (770) 756-9195
Phone(678) 519-1038
Fax(770) 756-9195
Sole ProprietorNo
Enumeration DateMarch 4, 2006
Last NPPES UpdateFebruary 10, 2011
✔ NPI 1952378226 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 GA · PSY002509
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.
225 MEDICAL WAY, Riverdale, GA 30274
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Other Identifiers 7

Medicaid000910929HGA
Medicaid000910929FGA
Medicaid000910929GGA
Medicaid000910929KGA
Medicaid000910929EGA
Medicaid000910929LGA
Medicaid000910929IGA

Other Providers at the Same Location NPPES

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

DIAGNOSTIC HEALTH CORPORATION
Physiological Laboratory
225 MEDICAL WAY
RIVERDALE, GA 30274
Clayton County (770) 991-6747

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 1952378226. It was assigned to this individual provider in the NPPES registry on March 4, 2006.

Where is Lisa Clark located?

Lisa Clark practices at 225 Medical Way, Riverdale, GA 30274. The listed phone number is (678) 519-1038.

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 February 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.