Individual
DR. LISA B STORY
Active
Individual
DR. LISA B STORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2126
OR
103TC0700X
Clinical Psychologist
3178
NC
103TC0700X
Clinical Psychologist
Primary
PSY003714
GA
Other
Enumeration date
10/25/2006
Last updated
05/05/2014
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