Healthcare Provider Details

I. General information

NPI: 1417734021
Provider Name (Legal Business Name): EMILY ANNA HUTH MS, LCGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2023
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 MISSION BAY BLVD S
SAN FRANCISCO CA
94143-2156
US

IV. Provider business mailing address

468 KANSAS ST
SAN FRANCISCO CA
94107-2313
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2873
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: