Most Relevant Information
Provider Data
| NPI Number: | 1003811712 |
| Provider Name: | LISA M KOCH PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | PY00002472 |
Most Important Dates
| Enumeration Date: | 06/17/2005 |
| Last Updated: | 09/18/2015 |
Provider Practice Location
105 W 8TH AVE
SUITE 450E
SPOKANE
WA
992042302
Practice Location Phone/Fax
| Phone: | 5094746920 |
| Fax: | 5092277070 |
Provider Mailing Location
PO BOX 421
LIBERTY LAKE
WA
990190421
Provider Mailing Phone/Fax
| Phone: | 8667472455 |
| Fax: | 5092277070 |