Individual
KRISTINA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
35 PEARL ST STE 200, BROCKTON, MA 02301-2866
(508) 588-8034
(508) 897-0475
Mailing address
35 PEARL ST STE 100, BROCKTON, MA 02301-2866
(781) 769-3222
(781) 255-9807
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
567
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
448791
TUFTS-INDIVIDUAL
MA
01
—
620733
TUFTS GROUP
MA
01
—
626538
HPHC AUDIOLOGY
MA
01
—
AD0194
BCBS AUDIOLOGIST
MA
01
—
AG0032
BCBS AUDIOLOGY GROUP
MA
Enumeration date
10/18/2006
Last updated
05/05/2021
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