Mcdermott, Justine

Mcdermott, Justine is an individual health care provider with primary practice located at 8650 Sudley Rd Suite 209, Manassas VA 20110-4419. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Mcdermott, Justine can be contacted via phone (703) 369-0300.

Contact Information

Primary practice address
8650 Sudley Rd Suite 209 Manassas VA 20110-4419
Phone: (703) 369-0300
Fax: (703) 369-0017
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2201001528 Virginia

Profile Details

NPI number 1386070787
LBN Legal business name Mcdermott, Justine
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2013
Last updated Aug 3rd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386070787 NPPES
Virginia Other 2201001528 VA STATE AUDIOLOGY LICENSE

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