Provider Demographics
NPI:1770755597
Name:ROBBINS, KRISTIN LOUISE (AUD)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:LOUISE
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 GOLDSTRIKE CT
Mailing Address - Street 2:
Mailing Address - City:ALEDO
Mailing Address - State:TX
Mailing Address - Zip Code:76008-6022
Mailing Address - Country:US
Mailing Address - Phone:817-808-0770
Mailing Address - Fax:
Practice Address - Street 1:1261 W GREEN OAKS BLVD
Practice Address - Street 2:105
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-8348
Practice Address - Country:US
Practice Address - Phone:817-451-4818
Practice Address - Fax:817-451-4828
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51221237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2045619Medicaid