Provider Demographics
NPI:1235495177
Name:ROBERTSON, CHRISTIANNE (AUD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIANNE
Middle Name:
Last Name:ROBERTSON
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 1:3549 CEDAR RUN RD APT 1608
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-2470
Mailing Address - Country:US
Mailing Address - Phone:214-502-1488
Mailing Address - Fax:
Practice Address - Street 1:4545 HARTFORD ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-4602
Practice Address - Country:US
Practice Address - Phone:325-793-3490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-04
Last Update Date:2020-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM4956237600000X
TX81212231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter