Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Clark, LLP

Individual provider Psychologist · NPI 1639590813

Lisa Clark, LLP is a Psychologist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
In the registry since
2013

Practice location Address checks out

5005 Plainfield Ave NE Ste 100
Grand Rapids, MI 49525-9747
Phone: (616) 279-3869
Fax: (616) 608-4657
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6301012462 (MI)

Record details

NPI number1639590813
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLP
Sole proprietorNo
NPI enumeratedDecember 14, 2013
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address5005 Plainfield Ave Ne Ste 100, Grand Rapids, MI 49525-2087

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