Provider Demographics
NPI:1639466725
Name:SCHOENHALS HART, HELEN E
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:E
Last Name:SCHOENHALS HART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-4103
Mailing Address - Country:US
Mailing Address - Phone:415-492-1733
Mailing Address - Fax:415-479-9502
Practice Address - Street 1:13 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-4103
Practice Address - Country:US
Practice Address - Phone:415-492-1733
Practice Address - Fax:415-479-9502
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-08
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARP217102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst