Individual
DR. LISA R BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
314 MDOS/ SGOH, 1090 ARNOLD DRIVE, LITTLE ROCK AFB, AR 72099-0001
(501) 987-7338
(501) 987-8087
Mailing address
314 MDOS/ SGOH, 1090 ARNOLD DRIVE, LITTLE ROCK AFB, AR 72099
(501) 987-7338
(501) 987-8087
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
08/18/2005
Last updated
09/17/2007
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