Healthcare Provider Details

I. General information

NPI: 1982027900
Provider Name (Legal Business Name): MRS. REBECCA BARONE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2014
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10474 MATHER BLVD
MATHER CA
95655-4116
US

IV. Provider business mailing address

849 SHELLWOOD WAY
SACRAMENTO CA
95831-3842
US

V. Phone/Fax

Practice location:
  • Phone: 916-228-2500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number8837
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: