Provider Demographics
NPI:1316281298
Name:SMYTHE, AUSTIN WILLIAM (MA, LMFT)
Entity type:Individual
Prefix:MR
First Name:AUSTIN
Middle Name:WILLIAM
Last Name:SMYTHE
Suffix:
Gender:M
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2157 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-1008
Mailing Address - Country:US
Mailing Address - Phone:415-387-2755
Mailing Address - Fax:
Practice Address - Street 1:91 RAINEY ST APT 845
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-0055
Practice Address - Country:US
Practice Address - Phone:408-318-2675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-16
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No172V00000XOther Service ProvidersCommunity Health Worker