| Doctor Name: | DR. LISA KELLER SCHAFER |
| NPI Number: | 1346676897 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D., LPCC |
| License Number: | CC00782 |
| Business Practice Address: | 1058 College Dr New Town, ND - 587639112 |
| Business Phone Number: | 7016277777 |
| Business Fax Number: | 7016272801 |
| Mailing Address: | 1058 College Dr, NEW TOWN |
| State: | ND |
| Postal Code: | 587639112 |
| Phone Number: | 7016277777 |
| Fax Number: | 7016272801 |
| NPI Enumeration Date: | 09/16/2013 |
| NPI Last Update Date: | 02/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | CC00782 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |