Individual
ALISON L LIUDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.,C.C.C.-A,F.A.A
Contact information
Practice address
2070 OLD BRIDGE RD, SUITE 103, LAKE RIDGE, VA 22192-2495
(703) 499-8787
(703) 499-8222
Mailing address
PO BOX 7657, WOODBRIDGE, VA 22195-7657
(703) 499-8787
(703) 499-8222
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001374
VA
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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