Provider Demographics
NPI:1164703963
Name:KINDMAN, PAUL (LMFT)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:KINDMAN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:PAUL
Other - Middle Name:
Other - Last Name:ISKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFTI
Mailing Address - Street 1:1555 W SUNSET BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-3333
Mailing Address - Country:US
Mailing Address - Phone:415-944-7601
Mailing Address - Fax:
Practice Address - Street 1:1555 W SUNSET BLVD STE C
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-3333
Practice Address - Country:US
Practice Address - Phone:415-944-7601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA96984106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist