Provider Demographics
NPI:1912742511
Name:HOUSTON, CHRISTIANNA (HIS)
Entity type:Individual
Prefix:
First Name:CHRISTIANNA
Middle Name:
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 REPORTER CT
Mailing Address - Street 2:
Mailing Address - City:NORTH CONWAY
Mailing Address - State:NH
Mailing Address - Zip Code:03860-5307
Mailing Address - Country:US
Mailing Address - Phone:603-730-9036
Mailing Address - Fax:603-696-3050
Practice Address - Street 1:24 REPORTER CT
Practice Address - Street 2:
Practice Address - City:NORTH CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03860-5307
Practice Address - Country:US
Practice Address - Phone:603-730-9036
Practice Address - Fax:603-696-3050
Is Sole Proprietor?:No
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2043237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist