Healthcare Provider Details

I. General information

NPI: 1558016576
Provider Name (Legal Business Name): OLIVIA HAMILTON AUSTIN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: OLIVIA HAMILTON SNYDER

II. Dates (important events)

Enumeration Date: 02/17/2022
Last Update Date: 02/17/2022
Certification Date: 02/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17475 CARRIAGE LAMP WAY
MORGAN HILL CA
95037-3748
US

IV. Provider business mailing address

17475 CARRIAGE LAMP WAY
MORGAN HILL CA
95037-3748
US

V. Phone/Fax

Practice location:
  • Phone: 626-487-4088
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number131137
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: