Provider Demographics
NPI:1518971126
Name:SCHWELLINGER, LISA ANN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:ANN
Last Name:SCHWELLINGER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7227 WINDY PRESERVE
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-7243
Mailing Address - Country:US
Mailing Address - Phone:262-225-0878
Mailing Address - Fax:
Practice Address - Street 1:7227 WINDY PRESERVE
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-7243
Practice Address - Country:US
Practice Address - Phone:262-225-0878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY9259103TC0700X
WI2580-057103TC0700X
IL071-006671103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical