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General NPI Number Information
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NPI Number | 1538372727
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Entity Type | Individual
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Provider Name | LISA ANNETTE MCCREA-JONES PSYD
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 05/20/2022
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Provider Practice Location Address
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Address Line | 107 S DIVISION ST
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City | SPOKANE
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State | WA
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Zip | 99202-1510
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Country | US
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Telephone | 509-838-4651
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Fax |
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Provider Business Mailing Address
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Address Line | 107 S DIVISION ST
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City | SPOKANE
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State | WA
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Zip | 99202-1510
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Country | US
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Telephone | 509-838-4651
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY61121690
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License Number State | WA
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