Healthcare Provider Details

I. General information

NPI: 1437062676
Provider Name (Legal Business Name): SUSAN THOMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2110 WASHINGTON BLVD
ARLINGTON VA
22204-5719
US

IV. Provider business mailing address

2110 WASHINGTON BLVD 2ND FLOOR SYPHAX, AUDIOLOGY
ARLINGTON VA
22204
US

V. Phone/Fax

Practice location:
  • Phone: 703-228-6059
  • Fax:
Mailing address:
  • Phone: 703-228-6059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2201001508
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: