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

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