Provider Demographics
NPI:1205193406
Name:PATTON, CHRISTINA E (BC-HIS)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:E
Last Name:PATTON
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5010 E WARNER RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-3311
Mailing Address - Country:US
Mailing Address - Phone:480-245-6055
Mailing Address - Fax:480-993-3124
Practice Address - Street 1:5010 E WARNER RD
Practice Address - Street 2:SUITE 107
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-3311
Practice Address - Country:US
Practice Address - Phone:480-245-6055
Practice Address - Fax:480-993-3124
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHAD6191237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist