Individual
DR. LISA ANYAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
1945 MASON MILL RD, SUITE 100, DECATUR, GA 30033-4074
(404) 215-0107
(404) 321-4887
Mailing address
1945 MASON MILL RD, SUITE 100, DECATUR, GA 30033-4074
(404) 215-0107
(404) 321-4887
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002232
GA
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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