Individual
LINDA JACOBS-CONDIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, CCC-A
Contact information
Practice address
GWU SPEECH & HEARING CTR, 2115 G STREET NW, RM B-01, WASHINGTON, DC 20052-0001
(202) 994-7360
(202) 994-0747
Mailing address
GWU SPEECH & HEARING CTR, 2115 G STREET NW, RM B-01, WASHINGTON, DC 20052-0001
(202) 994-7360
(202) 994-0747
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD000011
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214831
MEDICARE PTAN
DC
Enumeration date
09/24/2009
Last updated
09/24/2009
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