Jean Marie Fagan, AUD, CCC-A

NPI #1487804183 in Washington, District of Columbia

Provider Information

NPI Number: 1487804183
Entity Type: Individual
Name: Jean Marie Fagan, AUD, CCC-A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Credential: AUD, CCC-A
Enumeration Date: Sep 30, 2008
Last Updated: Sep 30, 2008

Practice Location

Address: 2150 PENNSYLVANIA AVE. NW
Address 2: SUITE 6-201
City: Washington
State: District of Columbia
ZIP Code: 20037
Phone: (202) 715-5659

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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