Ent Neonatal of Northern Virginia

NPI #1598962805 in Springfield, Virginia

Provider Information

NPI Number: 1598962805
Entity Type: Organization
Organization Name: Ent Neonatal of Northern Virginia
Primary Specialty: Audiologist
Enumeration Date: Jun 29, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 8314 TRAFORD LN
Address 2: LOWER LEVEL
City: Springfield
State: Virginia
ZIP Code: 22152-1651
Phone: (703) 451-0973

Authorized Official

Name: KEN HENRY, PH.D.
Title: MEDICAL DIRECTOR, ENT NEONATAL
Phone: (703) 536-1666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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DR. Beth Lynn Connors, AUD	Audiologist	Springfield	AI Deep Dive
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Diana Trinidad	Audiologist	Springfield	AI Deep Dive
DR. Eric De Blaey, AU.D. CCC-A	Audiologist	Springfield	AI Deep Dive

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