Provider Demographics
NPI:1750144689
Name:SILBERSTEIN, LYNNE (MFT)
Entity type:Individual
Prefix:
First Name:LYNNE
Middle Name:
Last Name:SILBERSTEIN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:LYNNE
Other - Middle Name:BETH
Other - Last Name:ANTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFT
Mailing Address - Street 1:423 GOUGH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-4415
Mailing Address - Country:US
Mailing Address - Phone:415-974-9764
Mailing Address - Fax:415-842-9149
Practice Address - Street 1:423 GOUGH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-4415
Practice Address - Country:US
Practice Address - Phone:415-974-9764
Practice Address - Fax:415-842-9149
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT30580106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist