Provider Demographics
NPI:1033103171
Name:FRENCH, LISA MARIE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:MARIE
Last Name:FRENCH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 7 BOX 654
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09104-0654
Mailing Address - Country:US
Mailing Address - Phone:49245-199-3378
Mailing Address - Fax:49245-199-3381
Practice Address - Street 1:PSC 7
Practice Address - Street 2:UNIT 8030
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09104-9998
Practice Address - Country:US
Practice Address - Phone:49245-199-3378
Practice Address - Fax:49245-199-3381
Is Sole Proprietor?:No
Enumeration Date:2005-09-05
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB1-0000712103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical