Provider Demographics
NPI:1174863401
Name:GOLDIN, PAUL EDWARD (MA,, LMF,T,)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:EDWARD
Last Name:GOLDIN
Suffix:
Gender:M
Credentials:MA,, LMF,T,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 PASEO PRIMARIO
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-3054
Mailing Address - Country:US
Mailing Address - Phone:818-225-0141
Mailing Address - Fax:818-225-0195
Practice Address - Street 1:3750 PASEO PRIMARIO
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-3054
Practice Address - Country:US
Practice Address - Phone:818-225-0141
Practice Address - Fax:818-225-0195
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-23
Last Update Date:2013-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC34967106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist