Provider Demographics
NPI:1225129380
Name:LIGGON, CINDA ANNE (MD)
Entity Type:Individual
Prefix:
First Name:CINDA
Middle Name:ANNE
Last Name:LIGGON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 BLACK AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-2115
Mailing Address - Country:US
Mailing Address - Phone:717-496-8521
Mailing Address - Fax:717-307-3487
Practice Address - Street 1:38 BLACK AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-2115
Practice Address - Country:US
Practice Address - Phone:717-496-8521
Practice Address - Fax:717-307-3487
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD065289L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017330960008Medicaid
PA0017330960008Medicaid
PA023373FDBMedicare ID - Type Unspecified