Provider Demographics
NPI:1730386574
Name:CHRISTENSEN, ROY A (MS, CCC-A, F-AAA)
Entity type:Individual
Prefix:
First Name:ROY
Middle Name:A
Last Name:CHRISTENSEN
Suffix:
Gender:M
Credentials:MS, CCC-A, F-AAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6140 VILLAGE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-3521
Mailing Address - Country:US
Mailing Address - Phone:402-489-3450
Mailing Address - Fax:402-489-3452
Practice Address - Street 1:6140 VILLAGE DR STE 1
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-3521
Practice Address - Country:US
Practice Address - Phone:402-489-3450
Practice Address - Fax:402-489-3452
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE638237600000X
NE011237600000X
NE172237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE37007OtherBCBS
NE10025097560Medicaid
NE1316236540OtherCHRISTENSEN AUDIOLOGY
NE10025727100Medicaid