Julie Axelrod Austin, PSY.D.
Individual provider Active NPI Clinical Psychologist · Mill Valley, CA
NPI 1104136506 · NPPES record last updated Oct 2, 2012
Key facts
- NPI
- 1104136506
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY14898 (CA)
- Practice address
- 240 Miller Ave Ste G
Mill Valley, CA 94941-2858 - Phone
- (415) 928-7800
- NPI assigned
- Oct 19, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY14898 | CA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY14898 | CA | Yes |
Addresses
Primary practice location
240 Miller Ave Ste G
Mill Valley, CA 94941-2858
Mailing address
240 Miller Ave Ste G
Mill Valley, CA 94941-2858
Phone (415) 272-4515
Other providers in Mill Valley, CA
- Arthro Therapeutics Inc
- Asch Marriage and Family Therapy, Inc.
- Anne Asch
- Chastain Clifford Attkisson Jr.
- Susan S.Q. Au-Yang
- Suzanne B Austin
- Haley Rae Baker
- Charisse Balance
- Shelley Baldridge
- Jennifer Baldwin
All providers in Mill Valley, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.