Provider Demographics
NPI:1194072546
Name:CORREA-BARRON, CRISTINA ELIZABETH
Entity type:Individual
Prefix:MS
First Name:CRISTINA
Middle Name:ELIZABETH
Last Name:CORREA-BARRON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3502 S MASON AVE
Mailing Address - Street 2:APT # 4K
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-8541
Mailing Address - Country:US
Mailing Address - Phone:818-454-3658
Mailing Address - Fax:
Practice Address - Street 1:3502 S MASON AVE
Practice Address - Street 2:APT #4K
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-8541
Practice Address - Country:US
Practice Address - Phone:818-454-3658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-03
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist