Whalio Doctors

NPI 1013091982

Lisa B Story, PHD

Practitioner Clinical Psychologist Marietta, GA

Practice location

Address
4343 Shallowford Rd Suite E1, Marietta, GA 30062-5023
Phone
(678) 237-1827
Fax
(678) 868-1808

Registered specialties (3)

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY003714 (GA)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 3178 (NC)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 2126 (OR)

Registry record

NPI
1013091982
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Oct 2006
Record last updated
5 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.