Provider Demographics
NPI:1407061096
Name:GOLDSMITH, BARTON JAY (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARTON
Middle Name:JAY
Last Name:GOLDSMITH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32129 LINDERO CANYON RD STE 210
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-5429
Mailing Address - Country:US
Mailing Address - Phone:818-879-9996
Mailing Address - Fax:818-879-6502
Practice Address - Street 1:32129 LINDERO CANYON RD STE 210
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-5429
Practice Address - Country:US
Practice Address - Phone:818-879-9996
Practice Address - Fax:818-879-6502
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 32379106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist