Individual
LISA MARIE FOULK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2200 W BROAD ST, COLUMBUS, OH 43223-1297
(614) 752-0333
Mailing address
2200 W BROAD ST, COLUMBUS, OH 43223-1297
(614) 752-0333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6589
OH
Other
Enumeration date
01/26/2010
Last updated
01/10/2011
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