Hardebeck, Lisa M

Hardebeck, Lisa M is an individual health care provider with primary practice located at 621 Pacific Ave Suite 109, Tacoma WA 98402-4600. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hardebeck, Lisa M can be contacted via phone (253) 269-6063.

Contact Information

Primary practice address
621 Pacific Ave Suite 109 Tacoma WA 98402-4600
Phone: (253) 269-6063
Fax: (360) 539-5938
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY00002596 Washington
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY2596 Washington
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY2596

Profile Details

NPI number 1306823398
LBN Legal business name Hardebeck, Lisa M
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Aug 16th, 2013 - about 11 years ago

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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