Deborah Goldyne, MFT
Individual provider Active NPI Marriage & Family Therapist · Kentfield, CA
NPI 1659619559 · NPPES record last updated Jan 28, 2013
Key facts
- NPI
- 1659619559
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC42148 (CA)
- Practice address
- 1036 Sir Francis Drake Blvd
Kentfield, CA 94904-1427 - Phone
- (415) 215-1153
- NPI assigned
- Jan 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC42148 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC42148 | CA | Yes |
Addresses
Primary practice location
1036 Sir Francis Drake Blvd
Kentfield, CA 94904-1427
Mailing address
4550 Grove St
Sonoma, CA 95476-6050
Phone (415) 215-1153
Other providers in Kentfield, CA
- William Scott Gerwin
- Stefanie Maria Ghisletta
- Paul Gilbert Jr.
- Robin Glantz
- Roz C Goldstein
- Julia Gombos
- April Azucena Gonzalez
- Irwin Gootnick
- Susan A. Gootnick
- Carolyn Nan Gracie
All providers in Kentfield, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.