Provider Demographics
NPI:1811282973
Name:DAVID, NATALIE (MA, MFT, PSYD)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:DAVID
Suffix:
Gender:F
Credentials:MA, MFT, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 OCEAN AVE UNIT D501
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90402-5109
Mailing Address - Country:US
Mailing Address - Phone:310-600-5400
Mailing Address - Fax:
Practice Address - Street 1:101 OCEAN AVE UNIT D501
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90402-5109
Practice Address - Country:US
Practice Address - Phone:310-600-5400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65815106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist