Individual provider · NPI-1

Jessica Depol, AuD

Audiologist · Chevy Chase, MD

NPI number1568031482
StatusActive
Last updated in NPPESJun 24, 2021

Details

NPI
1568031482
Entity type
Individual (NPI-1)
Name
Jessica Depol
Credential
AuD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 24, 2021
Certification date
Jun 24, 2021
Last updated
Jun 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
231H00000X Audiologist01558MDYes

Practice location

5454 Wisconsin Ave Ste 1540
Chevy Chase, MD 20815-6954

Phone 301-652-8847 · Fax 301-652-3751

Mailing address

5454 Wisconsin Ave Ste 1535
Chevy Chase, MD 20815-6922

Phone 301-652-8847 · Fax 301-652-3751

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