Provider Demographics
NPI:1386444396
Name:LINDSAY, LORETTA (PPSC)
Entity type:Individual
Prefix:
First Name:LORETTA
Middle Name:
Last Name:LINDSAY
Suffix:
Gender:
Credentials:PPSC
Other - Prefix:
Other - First Name:LORETTA
Other - Middle Name:
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PPSC
Mailing Address - Street 1:4325 SPAULDING ST
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-8248
Mailing Address - Country:US
Mailing Address - Phone:925-779-7465
Mailing Address - Fax:
Practice Address - Street 1:4325 SPAULDING ST
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531-8248
Practice Address - Country:US
Practice Address - Phone:925-779-7465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool