Healthcare Provider Details

I. General information

NPI: 1235077231
Provider Name (Legal Business Name): LINDSEY RENEE SAFFOLD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 54TH ST
OAKLAND CA
94608-3142
US

IV. Provider business mailing address

915 54TH ST
OAKLAND CA
94608-3142
US

V. Phone/Fax

Practice location:
  • Phone: 510-879-5003
  • Fax:
Mailing address:
  • Phone: 510-228-9159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number20923
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: