Healthcare Provider Details

I. General information

NPI: 1427115039
Provider Name (Legal Business Name): LINDSAY J FERLIN MFTI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 04/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 HAIGHT ST
SAN FRANCISCO CA
94102-6127
US

IV. Provider business mailing address

5325 BRODER BLVD SANTA RITA JAIL QUIC:80501
DUBLIN CA
94568
US

V. Phone/Fax

Practice location:
  • Phone: 415-554-1480
  • Fax:
Mailing address:
  • Phone: 510-548-2250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: