Provider Demographics
NPI:1043645385
Name:AKBARI, CHRISTINA CATHERINE (MA)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:CATHERINE
Last Name:AKBARI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MISS
Other - First Name:CHRISTINA
Other - Middle Name:CATHERINE
Other - Last Name:VAN MARION
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7898 E 126TH ST S APT 926
Mailing Address - Street 2:
Mailing Address - City:BIXBY
Mailing Address - State:OK
Mailing Address - Zip Code:74008-2210
Mailing Address - Country:US
Mailing Address - Phone:409-466-3935
Mailing Address - Fax:
Practice Address - Street 1:700 N GREENWOOD AVE
Practice Address - Street 2:NORTH HALL 391
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74106-0702
Practice Address - Country:US
Practice Address - Phone:918-594-8573
Practice Address - Fax:918-594-8113
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4131235Z00000X
TX15629235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist