Provider Demographics
NPI:1316168024
Name:SHULMAN, ELIZABETH STERENBERG (PHD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:STERENBERG
Last Name:SHULMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:STERENBERG
Other - Last Name:FREILICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:377 N LAKE WAY
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480-3639
Mailing Address - Country:US
Mailing Address - Phone:561-832-6133
Mailing Address - Fax:561-655-6650
Practice Address - Street 1:377 N LAKE WAY
Practice Address - Street 2:
Practice Address - City:PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480-3639
Practice Address - Country:US
Practice Address - Phone:561-832-6133
Practice Address - Fax:561-655-6650
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 2859103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist