Provider Demographics
NPI:1831306836
Name:SCHULMAN-HEIN, LISA M (PHD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:M
Last Name:SCHULMAN-HEIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:SCHULMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:5510 PGA BLVD
Mailing Address - Street 2:SUITE 213
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-3980
Mailing Address - Country:US
Mailing Address - Phone:561-622-7722
Mailing Address - Fax:561-627-5577
Practice Address - Street 1:5510 PGA BLVD
Practice Address - Street 2:SUITE 213
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-3980
Practice Address - Country:US
Practice Address - Phone:561-622-7722
Practice Address - Fax:561-627-5577
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5140103T00000X
NY011994103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL59649ZMedicare UPIN