Organization
JEFFREY LIGMAN, PSY.D.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY D. LIGMAN (PRESIDENT)
(414) 460-7500
Entity
Organization
Contact information
Practice address
10045 W LISBON AVE STE 250, WAUWATOSA, WI 53222-2446
(414) 460-7500
Mailing address
10045 W LISBON AVE STE 250, WAUWATOSA, WI 53222-2446
(414) 460-7500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1281-057
PSYCHOLOGIST LICENSE
WI
05
—
39090200
—
WI
Enumeration date
06/30/2023
Last updated
02/01/2024
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