Individual
DR. JUSTINE MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
8650 SUDLEY RD, SUITE 209, MANASSAS, VA 20110-4419
(703) 369-0300
(703) 369-0017
Mailing address
3801 UNIVERSITY DR 300, FAIRFAX, VA 22030-2503
(703) 383-8130
(703) 383-7353
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001528
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2201001528
VA STATE AUDIOLOGY LICENSE
VA
Enumeration date
09/18/2013
Last updated
08/03/2015
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