Healthcare Provider Details

I. General information

NPI: 1427366442
Provider Name (Legal Business Name): DC AUDIOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2010
Last Update Date: 01/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 M STREET NW SUITE #606
WASHINGTON DC
20037-1565
US

IV. Provider business mailing address

2440 M STREET NW SUITE #606
WASHINGTON DC
20037-1565
US

V. Phone/Fax

Practice location:
  • Phone: 202-785-8300
  • Fax: 202-785-5040
Mailing address:
  • Phone: 202-785-8300
  • Fax: 202-785-5040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE A PICKEN
Title or Position: OWNER
Credential: MD
Phone: 202-785-5000