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Contact Information

TINA R GOLDSMITH, PH.D., BCBA-D
3250 TRINITY DR STE D-3
LOS ALAMOS, NM87544-2226
 Phone: 505-412-4044
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for TINA R GOLDSMITH · (Female)

NPI # 1518274182
Status Active
Credentials PH.D., BCBA-D
Entity Individual
Enumeration date 09/02/2010
Last updated 11/17/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 1155
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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