Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 1480-057 | WI |
N | 102L00000X | Psychologist | 1480-057 | WI |
N | 103T00000X | Psychologist | 1480-057 | WI |
Y | 103G00000X | Clinical Psychologist | 1480-057 | WI |
Y | 103TC0700X | Clinical Psychologist | 1480-057 | WI |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 1480-57 | WI |
N | 103TF0200X | Forensic Psychologist | 1480-057 | WI |
N | 103TH0100X | Health Service | 1480-057 | WI |
NPI | 1558426999 |
---|---|
Provider Name | Dr. Thomas Scot Lehmann |
First Address | Brookfield, WI 53005-8001 |
Second Address | Brookfield, WI 53005-8001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2006 |
Last Update Date | 09/07/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
39092900 | (05) | WI |