Petersen, Berkley June

Petersen, Berkley June is an individual health care provider with primary practice located at 6355 Walker Lane, Suite 308 , Alexandria VA 22310-3247. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Petersen, Berkley June can be contacted via phone (703) 313-7700.

Contact Information

Primary practice address
6355 Walker Lane, Suite 308 Alexandria VA 22310-3247
Phone: (703) 313-7700
Fax: (703) 313-0178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 3532 California
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2201001869 Virginia

Profile Details

NPI number 1689280802
LBN Legal business name Petersen, Berkley June
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2020
Last updated Jul 10th, 2024 - about last year

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 1689280802 NPPES
Virginia MEDICAID 30017888610001
Virginia MEDICAID 1689280802

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