Healthcare Provider Details

I. General information

NPI: 1528265410
Provider Name (Legal Business Name): CONNIE SCHULER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 NORTHGATE DR
SAN RAFAEL CA
94903-2526
US

IV. Provider business mailing address

3310 JEREMY CT
SANTA ROSA CA
95404-1856
US

V. Phone/Fax

Practice location:
  • Phone: 415-924-4027
  • Fax: 707-525-0659
Mailing address:
  • Phone: 415-924-4027
  • Fax: 707-252-0659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPSY13294
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY13294
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License NumberPSY13294
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: