Jacola, Lisa M
Jacola, Lisa M is an individual health care provider with primary practice located at 262 Danny Thomas Pl Ms 740 - St. Jude Children'S Research Hospital, Memphis TN 38105-3678. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Jacola, Lisa M can be contacted via phone (901) 595-5042.Contact Information
Primary practice address
262 Danny Thomas Pl Ms 740 - St. Jude Children'S Research Hospital
Memphis TN 38105-3678
Phone: (901) 595-5042
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 3215 | Tennessee |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 3215 | Tennessee |
Profile Details
| NPI number | 1750784096 |
|---|---|
| LBN Legal business name | Jacola, Lisa M |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2014 |
| Last updated | Jan 24th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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