DR. LISA M HARDEBECK (NPI# 1306823398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306823398 |
| Entity Type | Individual |
| Full Name | DR. LISA M HARDEBECK |
| Credential | PH.D. |
| Practice Address |
621 Pacific Ave Suite 109 Tacoma WA 98402-4600 |
| Practice Telephone | 2532696063 |
| Practice Fax Number | 3605395938 |
| Mailing Telephone | 2532696063 |
| Mailing Fax Number | 3605395938 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2013-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | PY2596 | Behavioral Health & Social Service Providers | |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY2596 | WA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PY00002596 | WA | Behavioral Health & Social Service Providers |
| Street Address |
621 PACIFIC AVE SUITE 109 |
| City | TACOMA |
| State | WA |
| Zip Code | 98402-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164883617 | The Hoarding Project | Community/Behavioral Health | 621 Pacific Ave, Suite 300, Tacoma, WA 98402-4600 | 2016-03-11 |
| 1245657360 | Emily Vonne Zimmerman | Psychologist | 621 Pacific Ave, Suite 109, Tacoma, WA 98402-4600 | 2014-03-26 |
| 1093146896 | Nancy Hewitt | Counselor | 621 Pacific Ave, Suite 8, Tacoma, WA 98402-4600 | 2013-12-03 |
| 1124258751 | Richard Daren Mcgraw | Massage Therapist | 621 Pacific Ave, Tacoma, WA 98402 | 2009-07-16 |
| 1902032725 | Jill B Nealey-moore | Psychologist | 621 Pacific Ave, Ste 310, Tacoma, WA 98402-4600 | 2009-06-08 |
| 1831324425 | Soundview Health Associates, Pllc | Psychologist | 621 Pacific Ave, Suite 310, Tacoma, WA 98402-4600 | 2009-05-26 |
| 1114152709 | David R Moore | Psychologist | 621 Pacific Ave, Suite 310, Tacoma, WA 98402-4600 | 2009-05-26 |
| 1639385578 | Jennifer Maria Sampson-susag | Marriage & Family Therapist | 621 Pacific Ave, Suite 300, Tacoma, WA 98402-4600 | 2007-05-15 |
| 1114074242 | Joseph Keith Peterson | Psychologist | 621 Pacific Ave, 100, Tacoma, WA 98402-4600 | 2007-01-04 |
| 1811062284 | John X Allemand | Social Worker | 621 Pacific Ave, Suite 315, Tacoma, WA 98402-4600 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
| 1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
| 1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
| 1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
| 1104367937 | Janelle Santiago | Counselor | Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 | 2017-03-13 |
| 1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
| 1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
| 1821416470 | Nicole Villarreal Mccormick | Acupuncturist | 711 A Ct #100, Tacoma, WA 98402 | 2014-04-01 |
| 1184055824 | Robyn Marie Callahan | Social Worker | 1102 A Street, Suite 202 B, Tacoma, WA 98402 | 2013-12-05 |
| 1679909410 | Kristin Sweet Fischer | Counselor | 708 Market St Unit 411, Tacoma, WA 98402 | 2013-09-25 |
| Find all providers in zip 98402 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097497 | Laetitia Geoffroy-dallery | Psychologist | 6425 S Cheyenne St, Tacoma, WA 98409-1633 | 2020-09-10 |
| 1780199125 | Christopher Edwards | Psychologist | 1500 N Warner St Stop 1035, Tacoma, WA 98416-1035 | 2017-12-07 |
| 1184134314 | Colleen Rustad | Psychologist | 3224 6th Ave, Tacoma, WA 98406-5902 | 2017-10-02 |
| 1174983316 | Troy Allen Robison | Psychologist | 9600 Veterans Dr Sw # A-116atc, Tacoma, WA 98493-5000 | 2016-03-01 |
| 1447618053 | Llc Courage 2b | Psychologist | 1764 N James St, Tacoma, WA 98406-1508 | 2016-02-10 |
| 1326415472 | Sean Morrison | Psychologist | 708 Broadway Ste 170, Tacoma, WA 98402-3778 | 2015-08-25 |
| 1386981850 | Larry D Pruitt | Psychologist | 9933 W Hayes St Madigan Anx, Joint Base Lewis Mcchord, Tacoma, WA 98431-0001 | 2013-01-03 |
| 1740541945 | Quyen Bich Nguyen | Psychologist | 4301 S Pine St Ste 30-07, Tacoma, WA 98409-9123 | 2012-06-04 |
| 1518245679 | Christmas Covell | Psychologist | 2105 N 30th St, Tacoma, WA 98403-3318 | 2011-07-22 |
| 1790089001 | Maurice Patrick O'connor | Psychologist | 321 E 25th St, Tacoma, WA 98421-1300 | 2010-12-29 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.