Provider Demographics
NPI:1164683983
Name:GREIG, CHRISTY PHELAN (AUD)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:PHELAN
Last Name:GREIG
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:CHRISTY
Other - Middle Name:PHELAN
Other - Last Name:SIMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:3195 NORTH STREET
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702
Mailing Address - Country:US
Mailing Address - Phone:409-832-9421
Mailing Address - Fax:409-832-0686
Practice Address - Street 1:3195 NORTH STREET
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702
Practice Address - Country:US
Practice Address - Phone:409-832-9421
Practice Address - Fax:409-832-0686
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51622237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter