Provider Demographics
NPI:1265771380
Name:LINDSAY, JULIE LYNN VIERRA (MA MFT)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:LYNN VIERRA
Last Name:LINDSAY
Suffix:
Gender:F
Credentials:MA MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2231 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-4924
Mailing Address - Country:US
Mailing Address - Phone:925-788-6568
Mailing Address - Fax:
Practice Address - Street 1:2231 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-4924
Practice Address - Country:US
Practice Address - Phone:925-788-6568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-08
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48690106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist