MEDICARE: RINA SCHUL 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	103T00000X	Psychologist	PSY19800	CA
2	103TC0700X	Clinical Psychologist	PSY19800	CA

General Provider Information

NPI Number	:	1598931552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RINA SCHUL PH.D.

Provider Business Mailing Address
First Line	:	4653 CARMEL MOUNTAIN RD STE 308
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-6650
Country	:	US
Telephone Number	:	858-330-0065
Fax Number	:	858-216-8033

Provider Business Practice Location Address
First Line	:	4653 CARMEL MOUNTAIN RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-6650
Country	:	US
Telephone Number	:	858-330-0065
Fax Number	:	858-216-8033

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

Provider Enumeration Date	:	04/30/2008
Last Update Date	:	09/30/2022

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Directions to “ RINA SCHUL PH.D.” Practice Location

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