Vivian Lee Muccio
Audiologist in Fairfax, VA. Individual provider (NPI-1).
NPI number1760624191
StatusActive
Last updated in NPPESJan 16, 2020
Details
- NPI
- 1760624191
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Vivian Lee Muccio
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2009
- Certification date
- Jan 16, 2020
- Last updated
- Jan 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 231H00000X | Audiologist | 2201000224 | VA | Yes |
| 237600000X | Audiologist-Hearing Aid Fitter | 2101000549 | VA |
Practice location
3930 Pender Dr Ste 140Fairfax, VA 22030-0986
Phone 571-432-0640
Mailing address
1320 Old Chain Bridge Rd Ste 185Mc Lean, VA 22101-3945
Phone 703-866-8819
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Other Audiologist providers in Fairfax, VA
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- Margaret Ann Henry, AUDIOLOGISTNPI 1548764350
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- Mary Catherine Savage Keefe, AUD, CCC-ANPI 1629296710
- Jessica Kreidler, AU.D., CCC-ANPI 1760096366
All 27 Audiologist providers in Fairfax · All 8,425 providers in Fairfax
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