Provider Demographics
NPI:1427641406
Name:SCHULZ, LISA LYNN (PHD, LPC, NCC, ACS)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:LYNN
Last Name:SCHULZ
Suffix:
Gender:F
Credentials:PHD, LPC, NCC, ACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1147 NE CONSER PL
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-6809
Mailing Address - Country:US
Mailing Address - Phone:912-401-6775
Mailing Address - Fax:
Practice Address - Street 1:1147 NE CONSER PL
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-6809
Practice Address - Country:US
Practice Address - Phone:912-401-6775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-19
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005549101YP2500X
ORC5667101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional