Provider Demographics
NPI:1407688252
Name:CZULINSKI, LISA LOZANO (LMHC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:LOZANO
Last Name:CZULINSKI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 TARRYTOWN RD # 1106
Mailing Address - Street 2:
Mailing Address - City:ELMSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10523-3417
Mailing Address - Country:US
Mailing Address - Phone:917-222-1217
Mailing Address - Fax:
Practice Address - Street 1:339 TARRYTOWN RD # 1106
Practice Address - Street 2:
Practice Address - City:ELMSFORD
Practice Address - State:NY
Practice Address - Zip Code:10523-3417
Practice Address - Country:US
Practice Address - Phone:917-222-1217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014687101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health