Healthcare Provider Details

I. General information

NPI: 1306869979
Provider Name (Legal Business Name): WILLIAM G AUSTIN PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 S. LINCOLN AVENUE SUITE C
STEAMBOAT SPRINGS CO
80487-0000
US

IV. Provider business mailing address

PO BOX 883009
STEAMBOAT SPRINGS CO
80488-3009
US

V. Phone/Fax

Practice location:
  • Phone: 970-871-4527
  • Fax: 970-871-6336
Mailing address:
  • Phone: 970-871-4527
  • Fax: 970-871-6336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2021
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number2021
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: