Individual
DR. DONNA MAY LIDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2013 SO 19TH ST, TACOMA, WA 98405
(253) 383-3355
(253) 383-3627
Mailing address
2013 SO 19TH ST, TACOMA, WA 98405
(253) 383-3355
(253) 383-3627
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY00001859
WA
103TC0700X
Clinical Psychologist
PY00001859
WA
103TH0100X
Health Service Psychologist
Primary
PY00001859
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076471
DEPT OF L&I
WA
01
—
LI0788
REGENCE BS
WA
Enumeration date
07/22/2006
Last updated
09/11/2025
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