Individual
LAURA CHARLENE LIGUORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
250 N SUNNY SLOPE RD, SUITE 290, BROOKFIELD, WI 53005-4809
(262) 754-9460
(262) 754-9468
Mailing address
2600 N MAYFAIR RD, SUITE 305, WAUWATOSA, WI 53226
(414) 257-0233
(414) 257-3588
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2461-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40913500
—
WI
Enumeration date
08/18/2006
Last updated
04/11/2011
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