Provider Demographics
NPI:1285855700
Name:GOLDSMITH, PATRICIA STURDY (PHD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:STURDY
Last Name:GOLDSMITH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1314 WESTWOOD BLVD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-4902
Mailing Address - Country:US
Mailing Address - Phone:310-474-2139
Mailing Address - Fax:310-474-7263
Practice Address - Street 1:1314 WESTWOOD BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-4902
Practice Address - Country:US
Practice Address - Phone:310-474-2139
Practice Address - Fax:310-474-7263
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC36409106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist