Individual
LISA MARIE CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3333 BURNET AVENUE, ML 3015, CINCINNATI, OH 45229
(513) 636-4225
(513) 636-2511
Mailing address
3333 BURNET AVENUE, ML 3015, CINCINNATI, OH 45229-3026
(513) 636-4225
(513) 636-2511
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P.07770
OH
103TC2200X
Clinical Child & Adolescent Psychologist
P.07770
OH
Other
Enumeration date
11/02/2016
Last updated
02/12/2021
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