# MICHAEL V. MASSA, M.ED., CCC INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861717100
- **Authorized official:** DR. MICHAEL V MASSA AU.D. (PRESIDENT)
- **Authorized official phone:** (703) 922-4262

## Contact information

- **Practice address:** 6355 WALKER LN STE 411, ALEXANDRIA, VA 22310-3250
- **Practice address phone:** (703) 313-0373
- **Practice address fax:** (703) 719-0400
- **Mailing address:** 6355 WALKER LN STE 411, ALEXANDRIA, VA 22310-3250
- **Mailing address phone:** (703) 922-4262
- **Mailing address fax:** (703) 719-0400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 2201000160 | VA | Yes |

## Other

- **Enumeration date:** 03/30/2010
- **Last updated:** 10/21/2010