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:
Health care specialties
| Specialty | Code | License # | 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 13 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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