Doctor Name: | MEAGAN LISKA |
NPI Number: | 1003222464 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | 129416-121 |
Business Practice Address: | 5000 W National Ave Milwaukee, WI - 532950001 |
Business Phone Number: | 4143842000 |
Business Fax Number: | |
Mailing Address: | 5000 W National Ave, MILWAUKEE |
State: | WI |
Postal Code: | 532950001 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/07/2014 |
NPI Last Update Date: | 07/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 129416-121 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |