Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID LISAK, PHD
Active Sole ProprietorDAVID LISAK, PHD is a Forensic Psychologist healthcare provider located in PLACITAS, New Mexico. NPI 1629562269 is currently active in the NPPES registry. Verify at CMS.
Forensic Psychologist · PLACITAS, NM
Registration Details
- NPI Number
- 1629562269
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2018 (8.1718736406917 yrs)
- Last Updated
- Jun 18, 2018
- License
-
6295 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
42 AGUA SARCA RDPLACITAS, NM, 870439404Browse NM providers · Browse ZIP 87043
- Phone
- 6179474119
- Primary Specialty
-
Forensic Psychologist
103TF0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.