Lisa M Koch
Psychologist
105 W 8th Ave Suite 450e
Spokane
, Washington 99204-2302
Lisa M Koch
Psychologist
105 W 8th Ave Suite 450e
Spokane
, Washington 99204-2302
(509) 227-7070
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Lisa M Koch
- Po Box 421
- Liberty Lake, WA
- Zip : 99019-0421
- Fax : (509) 227-7070
- Phone : (866) 747-2455
Second Address
- Lisa M Koch
- 105 W 8th Ave Suite 450e
- Spokane, WA
- Zip : 99204-2302
- Fax : (509) 227-7070
- Phone : (509) 474-6920
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | PY00002472 | WA |
| Y | 103T00000X | Psychologist | PY00002472 | WA |
National Provider Identifier
| NPI | 1003811712 |
|---|---|
| Provider Name | Lisa M Koch |
| First Address | Liberty Lake, WA 99019-0421 |
| Second Address | Spokane, WA 99204-2302 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/06/2005 |
| Last Update Date | 18/09/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8366411 | (05) | WA |
| P32267 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.