Individual
DR. LISA M. KING
Active
Individual
DR. LISA M. KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
130232
KY
103TC0700X
Clinical Psychologist
1531
KY
103TC0700X
Clinical Psychologist
KY1351
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30612022
—
KY
05
—
7100303500
—
KY
05
—
K001872
—
KY
Enumeration date
08/07/2007
Last updated
03/02/2022
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