Suzanne J. Lisowski, PH.D.

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

899-57

Practice address

2230 S Kinnickinnic Ave
Milwaukee, WI 53207-1330

Phone

(414) 769-1989

Fax

(414) 769-1989

NPI assigned

May 6, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1154766004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 S KINNICKINNIC AVE",
            "address_2": "2230 S KINNICKINNIC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532071330",
            "telephone_number": "414-769-1989",
            "fax_number": "414-769-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 S KINNICKINNIC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532071330",
            "telephone_number": "414-769-1989",
            "fax_number": "414-769-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISOWSKI",
        "first_name": "SUZANNE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": "899-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael William Lischak, M.D.
• Alexa Lisevick Kumar
• Meagan Liska, MSW
• Heather L. Lisko, APRNP
• Christopher Raymond Lisowski, LCSW
• Andrew Liss
• Christin Patricia Lissmann, APNP
• Kimberly List, LPC-IT
• Miangel Lister
• Rudolph Alphonso Litchmore

• Forensic Psychologist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Forensic Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.