Healthcare Provider Details

I. General information

NPI: 1730441973
Provider Name (Legal Business Name): LINDSAY DE MARIA SIGAFOOS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2012
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 N I ST
LOMPOC CA
93436-0909
US

IV. Provider business mailing address

1111 E OCEAN AVE STE 6
LOMPOC CA
93436-2500
US

V. Phone/Fax

Practice location:
  • Phone: 805-588-6192
  • Fax:
Mailing address:
  • Phone: 805-588-6192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number108603
License Number StateCA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1063951051
Identifier TypeOTHER
Identifier State
Identifier IssuerMEDI-CAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: