Provider Demographics
NPI:1154417129
Name:LISS-CLARKE, DEANNA SHOWS (PHD)
Entity type:Individual
Prefix:DR
First Name:DEANNA
Middle Name:SHOWS
Last Name:LISS-CLARKE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5925 FOREST LN
Mailing Address - Street 2:SUITE 514
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2712
Mailing Address - Country:US
Mailing Address - Phone:214-256-9273
Mailing Address - Fax:214-256-9955
Practice Address - Street 1:5925 FOREST LN
Practice Address - Street 2:SUITE 514
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2712
Practice Address - Country:US
Practice Address - Phone:214-256-9273
Practice Address - Fax:214-256-9955
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3-0566103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical