Healthcare Provider Details

I. General information

NPI: 1912838061
Provider Name (Legal Business Name): CHRISTIE MAYER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTIE LOMBARDO

II. Dates (important events)

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

III. Provider practice location address

4801 GOLD VALLEY RD
SALIDA CA
95368-9742
US

IV. Provider business mailing address

4801 SISK RD
SALIDA CA
95368-9445
US

V. Phone/Fax

Practice location:
  • Phone: 209-543-8163
  • Fax:
Mailing address:
  • Phone: 209-545-0339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number10618
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: