NPI 1285812255 · live from the CMS NPI Registry
Lisa Jan Bohne Clay, MEd
Psychologist in Greenwood, AR. National Provider Identifier 1285812255, active.
NPI record
| NPI | 1285812255 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 2711 Shadow Lake Dr, Greenwood, AR 72936 |
| Practice phone | 479-414-1703 |
| Enumerated | February 1, 2008 |
| Last updated | February 4, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 9811E (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.