Individual
LISA GUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1920 BRIARCLIFF RD NE, ATLANTA, GA 30329-4010
(404) 419-4000
(404) 419-4505
Mailing address
2931 E BIDDLE ST, PATIENT ACCOUNTING, BALTIMORE, MD 21213-3939
(443) 923-1886
(443) 923-1875
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY001794
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000569379A
—
GA
Enumeration date
10/17/2006
Last updated
03/29/2021
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