Provider Demographics
NPI:1851634000
Name:EASTHON, KRISTA MICHELLE (AUD)
Entity Type:Individual
Prefix:DR
First Name:KRISTA
Middle Name:MICHELLE
Last Name:EASTHON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KRISTA
Other - Middle Name:MICHELLE
Other - Last Name:HOLDERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:51342 NATIONAL RD STE 1
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-1710
Mailing Address - Country:US
Mailing Address - Phone:740-699-0400
Mailing Address - Fax:740-699-0404
Practice Address - Street 1:51342 NATIONAL RD STE 1
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-1710
Practice Address - Country:US
Practice Address - Phone:740-699-0400
Practice Address - Fax:740-699-0404
Is Sole Proprietor?:No
Enumeration Date:2013-04-05
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA01811231H00000X
PAAT006386231H00000X
WVA0293231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist