Provider Demographics
NPI:1538544796
Name:LOMBARD, HALEY (MSCFSLP)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:LOMBARD
Suffix:
Gender:F
Credentials:MSCFSLP
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:
Other - Last Name:WHITTEMORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSCFSLP
Mailing Address - Street 1:1133 W SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:WILLOWS
Mailing Address - State:CA
Mailing Address - Zip Code:95988-2601
Mailing Address - Country:US
Mailing Address - Phone:530-934-1800
Mailing Address - Fax:530-934-1991
Practice Address - Street 1:1133 W SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:WILLOWS
Practice Address - State:CA
Practice Address - Zip Code:95988-2601
Practice Address - Country:US
Practice Address - Phone:530-934-1800
Practice Address - Fax:530-934-1991
Is Sole Proprietor?:No
Enumeration Date:2015-07-29
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9530 RPE235Z00000X
CA23546235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist