Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tara Mae Shultz

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316529191

Tara Mae Shultz is a Student in an Organized Health Care Education/Training Program in West Hollywood, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

7111 Santa Monica Blvd Ste B-227
West Hollywood, CA 90046-3445
Phone: (310) 989-4754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 36038 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1316529191
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 22, 2021
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

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