Individual
DR. TINA R GOLDSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Contact information
Practice address
3250 TRINITY DR STE D-3, LOS ALAMOS, NM 87544-2226
(505) 412-4044
Mailing address
3250 TRINITY DR STE D-3, LOS ALAMOS, NM 87544-2226
(505) 412-4044
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
Primary
1155
NM
Other
Enumeration date
09/02/2010
Last updated
11/17/2016
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