Provider Demographics
NPI:1811047160
Name:LINSON, LISA M MCGILL (PHD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:M MCGILL
Last Name:LINSON
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:33 CONGRESSIONAL CIR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72210-2851
Mailing Address - Country:US
Mailing Address - Phone:501-225-3226
Mailing Address - Fax:501-257-3125
Practice Address - Street 1:2200 FORT ROOTS DR
Practice Address - Street 2:BUILDING 170 - 2H132
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114
Practice Address - Country:US
Practice Address - Phone:501-257-3317
Practice Address - Fax:501-257-3125
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AR06-40P103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical