Provider Demographics
NPI:1922445071
Name:CAMAROTA, KRISTEN ANNE (AUD)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:ANNE
Last Name:CAMAROTA
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:KRISTEN
Other - Middle Name:ANNE
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:2600 W IRONWOOD HILL DR
Mailing Address - Street 2:APARTMENT #15275
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-1085
Mailing Address - Country:US
Mailing Address - Phone:561-339-5112
Mailing Address - Fax:
Practice Address - Street 1:3601 S 6TH AVE
Practice Address - Street 2:AUDIOLOGY 5-126
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85723-0001
Practice Address - Country:US
Practice Address - Phone:520-629-1846
Practice Address - Fax:520-629-4707
Is Sole Proprietor?:No
Enumeration Date:2013-05-30
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA8263237600000X, 231HA2400X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner