MEDICARE: CHRISTY LEA BATH PSY.D.

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	103G00000X	Clinical Neuropsychologist	PSY28422	CA

General Provider Information

NPI Number	:	1447538210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTY LEA BATH PSY.D.

Provider Business Mailing Address
First Line	:	10470 OLD PLACERVILLE RD STE 100
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-2539
Country	:	US
Telephone Number	:	800-470-0071
Fax Number	:

Provider Business Practice Location Address
First Line	:	1625 STOCKTON BLVD STE 104
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-7098
Country	:	US
Telephone Number	:	916-454-6667
Fax Number	:

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

Provider Enumeration Date	:	07/28/2011
Last Update Date	:	01/12/2021

Similar Medicare Providers

1770058521 — TRACI JANE GRUSSENMEYER
Practice Location Address:

1625 STOCKTON BLVD STE 104
SACRAMENTO, CA
95816-7098

Practice Phone: 916-469-9337
Practice Fax: 916-706-3632

1871532051 — DR. BRIAN KAP-SOO KIM M.D.
Practice Location Address:

2800 L STREET , SUITE 300
SACRAMENTO, CA
95816-7098

Practice Phone: 916-453-3300
Practice Fax: 916-453-3313

1205169117 — GRACE SO MD
Practice Location Address:

1625 STOCKTON BLVD STE 106
SACRAMENTO, CA
95816-7098

Practice Phone: 916-262-9002
Practice Fax:

1003128711 — ANNE SETON THOMPSON S.P.
Practice Location Address:

1625 STOCKTON BLVD , SUITE 103
SACRAMENTO, CA
95816-7098

Practice Phone: 916-478-6570
Practice Fax: 916-478-6575

1326354838 — DR. ANDREW MARCOS IMPERIAL ALTIVEROS MD
Practice Location Address:

1625 STOCKTON BLVD STE 106
SACRAMENTO, CA
95816-7098

Practice Phone: 916-262-9002
Practice Fax: 916-262-9012

1649526203 — DR. LEON GRANT
Practice Location Address:

1625 STOCKTON BLVD STE 104
SACRAMENTO, CA
95816-7098

Practice Phone: 916-454-6667
Practice Fax: 916-454-6796

Directions to “ CHRISTY LEA BATH PSY.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.