MEDICARE: LINDSAY E SOTO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1194177964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY E SOTO

Provider Business Mailing Address
First Line	:	3653 CORTA BELLA WAY
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93455
Country	:	US
Telephone Number	:	805-781-3535
Fax Number	:

Provider Business Practice Location Address
First Line	:	3653 CORTA BELLA WAY
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93455
Country	:	US
Telephone Number	:	805-781-3535
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2016
Last Update Date	:	02/15/2017

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Directions to “ LINDSAY E SOTO ” Practice Location

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