Provider Demographics
NPI:1376104372
Name:ATWOOD, CHRISTA DONIS (HA)
Entity Type:Individual
Prefix:
First Name:CHRISTA
Middle Name:DONIS
Last Name:ATWOOD
Suffix:
Gender:F
Credentials:HA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1640 TEHAMA ST STE B
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-1681
Mailing Address - Country:US
Mailing Address - Phone:530-243-7307
Mailing Address - Fax:530-243-1292
Practice Address - Street 1:1640 TEHAMA ST STE B
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1681
Practice Address - Country:US
Practice Address - Phone:530-243-7307
Practice Address - Fax:530-243-1292
Is Sole Proprietor?:No
Enumeration Date:2019-06-21
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA-8503237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist