Healthcare Provider Details

I. General information

NPI: 1720448053
Provider Name (Legal Business Name): LINDSAY SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/29/2016
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27200 TOURNEY RD STE 120
SANTA CLARITA CA
91355-4910
US

IV. Provider business mailing address

27200 TOURNEY RD STE 120
SANTA CLARITA CA
91355-4910
US

V. Phone/Fax

Practice location:
  • Phone: 818-788-1003
  • Fax: 661-295-0181
Mailing address:
  • Phone:
  • Fax: 661-295-0181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSPA 793
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: