Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David R Shaddock, MFT

Individual provider Marriage & Family Therapist · NPI 1396253803

David R Shaddock, MFT is a Marriage & Family Therapist in Berkeley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
What do these letters mean?
MFT — Marriage and Family Therapist
A therapist who treats couples and families.

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Practice location Address checks out

3030 Ashby Ave # 105
Berkeley, CA 94705
Phone: (510) 836-1692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence MFT20360 (CA)

Record details

NPI number1396253803
Entity typeIndividual (Type 1)
GenderMale
Credentials MFT
Sole proprietorYes
NPI enumeratedJanuary 18, 2018
Last updated in NPPESJanuary 18, 2018
Mailing address3030 Ashby Avenue, 105, Berkeley, CA 94705

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