Shultz, Tara Mae
Shultz, Tara Mae is an sole proprietor health care provider with primary practice located at 7111 Santa Monica Blvd Ste B-227 , West Hollywood CA 90046-3445. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Shultz, Tara Mae can be contacted via phone (310) 989-4754.Contact Information
Primary practice address
7111 Santa Monica Blvd Ste B-227
West Hollywood CA 90046-3445
Phone: (310) 989-4754
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 36038 | California |
Profile Details
| NPI number | 1316529191 |
|---|---|
| LBN Legal business name | Shultz, Tara Mae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2021 |
| Last updated | Aug 12th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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