Individual
DR. LISA M JACOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
262 DANNY THOMAS PL, MS 740 - ST. JUDE CHILDREN'S RESEARCH HOSPITAL, MEMPHIS, TN 38105-3678
(901) 595-5042
Mailing address
262 DANNY THOMAS PL, MS 740 - ST. JUDE CHILDREN'S RESEARCH HOSPITAL, MEMPHIS, TN 38105-3678
(901) 595-5042
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3215
TN
103T00000X
Psychologist
3215
TN
Other
Enumeration date
10/01/2014
Last updated
01/24/2025
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