Provider Demographics
NPI:1487839445
Name:SINGH, DAVINDER X (PHD)
Entity Type:Individual
Prefix:
First Name:DAVINDER
Middle Name:
Last Name:SINGH
Suffix:X
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9232 LAKE BRADDOCK DR
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-2031
Mailing Address - Country:US
Mailing Address - Phone:703-405-7450
Mailing Address - Fax:571-432-0330
Practice Address - Street 1:10560 MAIN ST
Practice Address - Street 2:SUITE 215
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-7182
Practice Address - Country:US
Practice Address - Phone:703-405-7450
Practice Address - Fax:571-432-0330
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201000454237600000X
MD00332237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter