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NPI Code Detail

MEDICARE: DR. JOANNA LYNN PEARSON AUD

MEDICARE: DR. JOANNA LYNN PEARSON AUD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist3125729-4101UT

General Provider Information

NPI Number : 1093155368
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOANNA LYNN PEARSON AUD
Provider Business Mailing Address
First Line : 14000 CROWN CT STE 201
Second Line :
City : WOODBRIDGE
State : VA
Zip : 22193-1463
Country : US
Telephone Number : 703-499-8787
Fax Number :
Provider Business Practice Location Address
First Line : 14000 CROWN CT STE 201
Second Line :
City : WOODBRIDGE
State : VA
Zip : 22193-1463
Country : US
Telephone Number : 703-499-8787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2013
Last Update Date : 04/06/2026

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