Provider Demographics
NPI:1114009669
Name:SCHULLER, R ALANA (MFT)
Entity Type:Individual
Prefix:MRS
First Name:R
Middle Name:ALANA
Last Name:SCHULLER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MRS
Other - First Name:R.
Other - Middle Name:ALANA
Other - Last Name:SCHULLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFT
Mailing Address - Street 1:767 ACADEMY DR
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-2031
Mailing Address - Country:US
Mailing Address - Phone:619-692-9696
Mailing Address - Fax:858-793-4406
Practice Address - Street 1:767 ACADEMY DR
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-2031
Practice Address - Country:US
Practice Address - Phone:619-692-9696
Practice Address - Fax:858-793-4406
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC19752106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist