Healthcare Provider Details

I. General information

NPI: 1376324897
Provider Name (Legal Business Name): CYNTHIA HUSBAND LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2023
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 WOOSTER AVE
SAN JOSE CA
95116-1095
US

IV. Provider business mailing address

28 N 4TH ST UNIT 1211
SAN JOSE CA
95112-6166
US

V. Phone/Fax

Practice location:
  • Phone: 408-217-8951
  • Fax:
Mailing address:
  • Phone: 951-240-6941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number163361
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: