Individual
DR. LISA OWENS HENNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2204 LAKESHORE DR STE 440, 440, BIRMINGHAM, AL 35209-6729
(205) 874-7844
(205) 874-7848
Mailing address
2204 LAKESHORE DR STE 440, 440, BIRMINGHAM, AL 35209-6729
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1466
AL
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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