Provider Demographics
NPI:1699578617
Name:GOLDSMITH, DAVID FREDERICK (MA, AMFT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:FREDERICK
Last Name:GOLDSMITH
Suffix:
Gender:
Credentials:MA, AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ALTURAS WAY
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-4400
Mailing Address - Country:US
Mailing Address - Phone:510-684-2300
Mailing Address - Fax:
Practice Address - Street 1:100 TAMAL PLZ STE 107
Practice Address - Street 2:
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1165
Practice Address - Country:US
Practice Address - Phone:415-521-0966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA145926106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist