DR. SUZANNE J. LISOWSKI (NPI# 1154766004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154766004 |
| Entity Type | Individual |
| Full Name | DR. SUZANNE J. LISOWSKI |
| Credential | PH.D. |
| Practice Address |
2230 S Kinnickinnic Ave Milwaukee WI 53207-1330 |
| Mailing Address |
2230 S Kinnickinnic Ave 2230 S Kinnickinnic Ave Milwaukee WI 53207-1330 |
| Practice Telephone | 4147691989 |
| Practice Fax Number | 4147691989 |
| Mailing Telephone | 4147691989 |
| Mailing Fax Number | 4147691989 |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-05-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
899-57 | Behavioral Health & Social Service Providers |
| Street Address |
2230 S KINNICKINNIC AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53207-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730729302 | Patricia Ranaye Mann | Counselor | 2230 S Kinnickinnic Ave, Milwaukee, WI 53207-1330 | 2020-01-13 |
| 1922572262 | Jessica Lauren Bradway | Counselor | 2230 S Kinnickinnic Ave, Milwaukee, WI 53207-1330 | 2019-01-21 |
| 1710429204 | Laurabeth Swift | Counselor | 2230 S Kinnickinnic Ave, Milwaukee, WI 53207-1330 | 2016-11-15 |
| 1669878476 | Amanda Rochwite | Counselor | 2230 S Kinnickinnic Ave, Milwaukee, WI 53207-1330 | 2014-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304117 | Diane Wisch | Technician | 3602 S. 4th, Mil, WI 53207 | 2019-09-05 |
| 1811384464 | Megan O Bedolla | Emergency Medicine | 2338 E Ohio Ave, Milwaukee, WI 53207 | 2015-04-21 |
| 1255677563 | Jon Arthur Toppen | Counselor | 2637 S Fulton St, Milwaukee, WI 53207 | 2012-12-14 |
| 1720316730 | Paula Maria Ortega Flores | Massage Therapist | 2121 South Kinnickinnic Ave, Suite 3, Milwaukee, WI 53207 | 2009-12-02 |
| 1306087127 | Theron Mills | Counselor | 3073 S. Chase Ave., Suite 326, Milwaukee, WI 53207 | 2009-03-09 |
| 1841438769 | Counseling & Transition Center Inc | Clinic/Center | 3073 S. Chase Ave, Suite 326, Milwaukee, WI 53207 | 2009-01-30 |
| 1679727812 | Well-rounded, LLC | Clinic/Center | 2455 S. Howell Ave., Milwaukee, WI 53207 | 2008-11-14 |
| 1316154024 | Christian T. Harteau | Student in an Organized Health Care Education/Training Program | 3174 S Howell Ave, Milwaukee, WI 53207 | 2007-05-16 |
| 1316008303 | Thomas Fisher | Clinical Neuropsychologist | 2419 S. Lenox Street, Milwaukee, WI 53207 | 2006-12-13 |
| 1750470811 | David Alan Duter | Technician, Other | Uscg Sector Lake Michigan/hs Div, 2420 S. Lincoln Memorial Dr., Milwaukee, WI 53207 | 2006-10-12 |
| Find all providers in zip 53207 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750627378 | Deborah Collins | Psychologist | 740 N Plankinton Ave, Suite 334, Milwaukee, WI 53203-2403 | 2012-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015216 | Andrew Montgomery Simcox X | Psychologist | Unified Community Services, 200 West Alona Lane, Lancaster, WI 53813 | 2020-05-20 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1063653954 | Michael J Vitacco | Psychologist | 301 Troy Dr, Madison, WI 53704-1521 | 2009-03-23 |
| 1962529032 | James Demetrius Tomony I | Psychologist | 301 Troy Dr, Madison, WI 53704-1521 | 2007-03-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.