MEDICARE: DR. LISA SCHULTZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY.0005560	CO

General Provider Information

NPI Number	:	1508531997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA SCHULTZ

Provider Business Mailing Address
First Line	:	2173 MORNINGVIEW LN
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80109-3661
Country	:	US
Telephone Number	:	719-357-6471
Fax Number	:

Provider Business Practice Location Address
First Line	:	8400 E CRESCENT PKWY STE 618
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-2831
Country	:	US
Telephone Number	:	719-322-8175
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2021
Last Update Date	:	12/10/2025

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