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Individual

LISA M. THORNTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
150 W MAIN ST FL 2, NEW ALBANY, OH 43054-9229
(614) 293-9600
(614) 293-1456
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-9600
(614) 366-1215

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6504
OH
103TC0700X
Clinical Psychologist
Primary
P.6504
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0128808
OH
Enumeration date
01/12/2015
Last updated
05/01/2026
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