DR. DONNA MAY LIDREN PHD NPI 1073534079

NPI Information

  • NPI: 1073534079
  • Provider Name: DR. DONNA MAY LIDREN, PHD
  • Classification: Psychologist - 103TH0100X
  • Specialization: Health Service
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2013 SO 19TH ST
    TACOMA, WA
    ZIP 98405
  • Phone: (253) 383-3355

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NPI Details

DR. Donna May Lidren, PHD is a health service psychologist in Tacoma, WA. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). DR. Donna May Lidren, PHD NPI is 1073534079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2013 SO 19TH ST
TACOMA, WA
ZIP 98405
Phone: (253) 383-3355
Fax: (253) 383-3627

The NPI 1073534079 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 7/22/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalPY00001859WASHINGTONNo
2103TH0100XPsychologistHealth ServicePY00001859WASHINGTONYes
3103T00000XPsychologistPY00001859WASHINGTONNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10076471OTHERWASHINGTONDEPT OF L&I
2LI0788OTHERWASHINGTONREGENCE BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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