Provider Demographics
NPI:1760865422
Name:TAPIA, LINDSEY ANOUSH (MA, MED)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ANOUSH
Last Name:TAPIA
Suffix:
Gender:F
Credentials:MA, MED
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:ANOUSH
Other - Last Name:FREELAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 QUAIL RUN CIR STE 203
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93907-2364
Mailing Address - Country:US
Mailing Address - Phone:831-676-3015
Mailing Address - Fax:
Practice Address - Street 1:39899 BALENTINE DR STE 128
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-5361
Practice Address - Country:US
Practice Address - Phone:650-703-2423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9824235Z00000X
CA1-19-35353103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist