Dr. Lisa B Story, Ph.D.

Psychologist, Clinical in Marietta, GA. Individual provider (NPI-1).

NPI number1013091982

StatusActive

Last updated in NPPESMay 5, 2014

Details

NPI: 1013091982
Entity type: Individual (NPI-1)
Name: Dr. Lisa B Story
Credential: Ph.D.
Sex: Female
Sole proprietor: Yes
Enumeration date: Oct 25, 2006
Last updated: May 5, 2014

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103TC0700X	Psychologist, Clinical	PSY003714	GA	Yes
103TC0700X	Psychologist, Clinical	3178	NC
103TC0700X	Psychologist, Clinical	2126	OR

Practice location

4343 Shallowford Rd
Suite E1
Marietta, GA 30062-5023

Phone 678-237-1827 · Fax 678-868-1808

Mailing address

4343 Shallowford Rd
Suite E1
Marietta, GA 30062-5023

Phone 678-237-1827 · Fax 678-868-1808

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinical Psychologist providers in Marietta, GA

All 82 Clinical Psychologist providers in Marietta · All 9,180 providers in Marietta

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