Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa M Koch, PHD

Individual provider Psychologist · NPI 1003811712

Lisa M Koch, PHD is a Clinical Psychologist in Spokane, Washington. Qualified in 1999, 27 years ago. Practices with Providence Health and Services Washington, a 776-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
27
Licensed in
WA
In the registry since
2005
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

105 W 8th Ave Ste 450E
Spokane, WA 99204-2302
Phone: (509) 474-6920
Fax: (509) 227-7070
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY00002472 (WA)

Record details

NPI number1003811712
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 17, 2005
Last updated in NPPESSeptember 18, 2015
Mailing addressPo Box 421, Liberty Lake, WA 99019-0421

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Providence Health And Services Washington — 776 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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