Individual
LISA G FERDINAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
608 SUMMIT POINTE WAY NE, ATLANTA, GA 30329-4060
(404) 315-8277
(404) 728-5008
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002932
GA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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