Provider Demographics
NPI:1922161900
Name:CROSS, ERNEST BARTON (AUDIOLOGIST)
Entity Type:Individual
Prefix:MR
First Name:ERNEST
Middle Name:BARTON
Last Name:CROSS
Suffix:
Gender:M
Credentials:AUDIOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 EAST MAIN STREET
Mailing Address - Street 2:SUITE 4
Mailing Address - City:PHILADELPHIA
Mailing Address - State:MS
Mailing Address - Zip Code:39350
Mailing Address - Country:US
Mailing Address - Phone:601-656-0400
Mailing Address - Fax:601-656-0484
Practice Address - Street 1:1120 EAST MAIN STREET
Practice Address - Street 2:SUITE 4
Practice Address - City:PHILADELPHIA
Practice Address - State:MS
Practice Address - Zip Code:39350
Practice Address - Country:US
Practice Address - Phone:601-656-0400
Practice Address - Fax:601-656-0484
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSA0999231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist