Individual
REBECCA L. LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, CCC-A
Contact information
Practice address
6201 CENTREVILLE RD, SUITE 400, CENTREVILLE, VA 20121-2626
(703) 968-9087
Mailing address
8316 ARLINGTON BLVD, SUITE 300, FAIRFAX, VA 22031-5207
(703) 573-7600
(703) 573-2694
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001235
VA
237700000X
Hearing Instrument Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09145572
CERTIFICATION #
VA
01
—
2201001235
LICENSE #
VA
Enumeration date
05/05/2008
Last updated
05/05/2008
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