MEDICARE: DR. AMY ELAINE LIGGETT PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	32758	TX
2	103TC2200X	Clinical Child & Adolescent Psychologist	32758	TX
3	103TS0200X	School Psychologist	30974	TX

General Provider Information

NPI Number	:	1912120668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY ELAINE LIGGETT PH.D.

Provider Business Mailing Address
First Line	:	10959 SHADOW WOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-2718
Country	:	US
Telephone Number	:	713-974-7775
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 BERING DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-6703
Country	:	US
Telephone Number	:	713-974-7775
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	09/11/2025

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