Provider Demographics
NPI:1609919208
Name:CRISTIANO, PATRICIA A (MS)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:A
Last Name:CRISTIANO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8243 S LOUISVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-1622
Mailing Address - Country:US
Mailing Address - Phone:918-481-1615
Mailing Address - Fax:
Practice Address - Street 1:3227 E 31ST ST
Practice Address - Street 2:STE 102
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-2453
Practice Address - Country:US
Practice Address - Phone:918-749-7711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK98A237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter