Provider Demographics
NPI:1275420838
Name:ANTHES, CHRISTINA L (MA CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:L
Last Name:ANTHES
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 162
Mailing Address - Street 2:
Mailing Address - City:ADIN
Mailing Address - State:CA
Mailing Address - Zip Code:96006-0162
Mailing Address - Country:US
Mailing Address - Phone:808-205-8827
Mailing Address - Fax:
Practice Address - Street 1:1009 COUNTY ROAD 198 #162
Practice Address - Street 2:
Practice Address - City:ADIN
Practice Address - State:CA
Practice Address - Zip Code:96006
Practice Address - Country:US
Practice Address - Phone:808-205-8827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22274235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist