Individual
LISA KOEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1622 SOUTH AVE W, MISSOULA, MT 59801-7804
(406) 543-9700
(406) 549-8109
Mailing address
1622 SOUTH AVE W, MISSOULA, MT 59801-7804
(406) 543-9700
(406) 549-8109
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
174401
KY
103G00000X
Clinical Neuropsychologist
Primary
PSY-PSY-LIC-3744
MT
Other
Enumeration date
04/17/2017
Last updated
01/21/2026
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