Koch, Lisa M

Koch, Lisa M is an individual health care provider with primary practice located at 105 W 8Th Ave Suite 450E, Spokane WA 99204-2302. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Koch, Lisa M can be contacted via phone (509) 474-6920.

Contact Information

Primary practice address
105 W 8Th Ave Suite 450E Spokane WA 99204-2302
Phone: (509) 474-6920
Fax: (509) 227-7070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY00002472 Washington

Profile Details

NPI number 1003811712
LBN Legal business name Koch, Lisa M
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Sep 18th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003811712 NPPES
Washington MEDICAID 8366411

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