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Contact Information

LISA B STORY, PhD
4343 SHALLOWFORD RD
SUITE E1
MARIETTA, GA30062-5023
 Phone: 678-237-1827
 Fax: 678-868-1808
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LISA B STORY · (Female)

NPI Number 1013091982
Status Active
Credentials PhD
Entity Individual
Enumeration date 10/25/2006
Last updated 05/05/2014 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # PSY003714
  • NC License # 3178
  • OR License # 2126
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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