MEDICARE: AUSTIN SHERMAN LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	146132	CA

General Provider Information

NPI Number	:	1164932224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUSTIN SHERMAN LMFT

Provider Business Mailing Address
First Line	:	/B2603
Second Line	:
City	:	OLYMPIC VALLEY
State	:	CA
Zip	:	96146
Country	:	US
Telephone Number	:	510-982-6511
Fax Number	:

Provider Business Practice Location Address
First Line	:	2690 LAKE FOREST RD FL 2
Second Line	:
City	:	TAHOE CITY
State	:	CA
Zip	:	96145-2088
Country	:	US
Telephone Number	:	510-982-6511
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2017
Last Update Date	:	05/05/2026

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