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NPI 1811486780

NPI 1811486780 : HANNAH L LODERS PSYD : SPOKANE, WA

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General NPI Number Information
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    NPI Number           |    1811486780
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    Entity Type          |    Individual 
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    Provider Name        |    HANNAH L LODERS PSYD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/07/2018
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    Last Update Date     |    02/03/2026
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Provider Practice Location Address
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    Address Line         |    315 W 9TH AVE STE 200 
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    City                 |    SPOKANE
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    State                |    WA
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    Zip                  |    99204-2501
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    Country              |    US
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    Telephone            |    509-448-8200
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    Fax                  |    509-434-0392
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Provider Business Mailing Address
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    Address Line         |    731 N IRON BRIDGE WAY 
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    City                 |    SPOKANE
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    State                |    WA
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    Zip                  |    99202-4926
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    Country              |    US
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    Telephone            |    509-444-8888
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    Fax                  |    509-444-7806
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    103TC2200X
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    Taxonomy Name        |    Clinical Child & Adolescent Psychologist
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    License Number       |    PSY1000744
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    License Number State |    MA
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