MEDICARE: DR. NANCY SHULER PH.D

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 8712	CA

General Provider Information

NPI Number	:	1578643268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY SHULER PH.D

Provider Business Mailing Address
First Line	:	2323 LOMA VISTA PL
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-3614
Country	:	US
Telephone Number	:	323-664-4280
Fax Number	:	232-668-0508

Provider Business Practice Location Address
First Line	:	2323 LOMA VISTA PL
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-3614
Country	:	US
Telephone Number	:	323-664-4280
Fax Number	:	232-668-0508

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

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	07/08/2007

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