Healthcare Provider Details

I. General information

NPI: 1457419475
Provider Name (Legal Business Name): CHRISTINA P BARBAO M.S., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11775 EDUCATION ST STE 102
AUBURN CA
95602-2453
US

IV. Provider business mailing address

11775 EDUCATION ST STE 102
AUBURN CA
95602-2453
US

V. Phone/Fax

Practice location:
  • Phone: 530-823-7532
  • Fax: 530-823-0316
Mailing address:
  • Phone: 530-823-7532
  • Fax: 530-823-0316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU2196
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: