NPI age
20 years
Enumerated 2006-03-04
● Active
Type 1 · Individual
DR. Lisa Clark, PH.D.
Clark is 1 of 1 psychologist providers in Riverdale and 1 of 1487 in Georgia.
Primary specialty
Psychologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-02-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1487 active psychologist providers in Georgia.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-03Enumerated in NPPES
2006
2026
Where they practice
Practice location
225 Medical Way
Riverdale, GA 302742522
Mailing address
4557 Meadow Creek Path
Lithonia, GA 300387704
Specialties
-
Psychologist PrimaryA psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000910929H | |
| 05 (GA) | 000910929K | |
| 05 (GA) | 000910929L | |
| 05 (GA) | 000910929I | |
| 05 (GA) | 000910929G | |
| 05 (GA) | 000910929E | |
| 05 (GA) | 000910929F |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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