Provider Demographics
NPI:1619010766
Name:SCHIRMER, LISA LOUISE (PHD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:LOUISE
Last Name:SCHIRMER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11018 FAIRFIELD ST
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-2779
Mailing Address - Country:US
Mailing Address - Phone:734-525-9236
Mailing Address - Fax:
Practice Address - Street 1:36475 5 MILE RD
Practice Address - Street 2:ST. MARY MERCY HOSPITAL DEPT. OF BEHAVIORAL MEDICINE
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1971
Practice Address - Country:US
Practice Address - Phone:734-655-5831
Practice Address - Fax:734-655-4287
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301012546103T00000X
103TA0400X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
Not Answered103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy