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General NPI Number Information
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NPI Number | 1114861796
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Entity Type | Organization
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Legal Business Name | LISA R. GROSSMAN, PH.D., PLLC
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 1717 W FRANCIS AVE STE 204
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City | SPOKANE
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State | WA
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Zip | 99205-6858
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Country | US
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Telephone | 509-285-1615
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Fax | 509-905-3638
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Provider Business Mailing Address
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Address Line | 1717 W FRANCIS AVE STE 204
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City | SPOKANE
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State | WA
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Zip | 99205-6858
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Country | US
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Telephone | 509-285-1615
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Fax | 509-905-3638
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. LISA RUTH GROSSMAN
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Credential | PH.D.
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Telephone | 509-285-1615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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