Provider Demographics
NPI:1659427573
Name:WINBORN, LISA CRAIG (PHD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:CRAIG
Last Name:WINBORN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1540 APPLING CARE LN
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-4957
Mailing Address - Country:US
Mailing Address - Phone:901-388-1893
Mailing Address - Fax:901-388-1995
Practice Address - Street 1:1540 APPLING CARE LN
Practice Address - Street 2:SUITE 100
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-4957
Practice Address - Country:US
Practice Address - Phone:901-388-1893
Practice Address - Fax:901-388-1995
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP0000001496103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling