Provider Demographics
NPI:1093326647
Name:REDDY, CRISTINA PAOLA (AUD)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:PAOLA
Last Name:REDDY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4213 PLUMBAGO DR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76208-7322
Mailing Address - Country:US
Mailing Address - Phone:469-951-9925
Mailing Address - Fax:
Practice Address - Street 1:8325 WALNUT HILL LN STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4262
Practice Address - Country:US
Practice Address - Phone:214-696-8900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-16
Last Update Date:2020-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81144231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty