Provider Demographics
NPI:1558534586
Name:HESKEY, COLVILLE WILLIAM (AUD)
Entity Type:Individual
Prefix:DR
First Name:COLVILLE
Middle Name:WILLIAM
Last Name:HESKEY
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1635 N GEORGE MASON DR
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3601
Mailing Address - Country:US
Mailing Address - Phone:703-524-1212
Mailing Address - Fax:703-524-4595
Practice Address - Street 1:1635 N GEORGE MASON DR
Practice Address - Street 2:SUITE 250
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3601
Practice Address - Country:US
Practice Address - Phone:703-524-1212
Practice Address - Fax:703-524-4595
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201001356231H00000X
VA2101001681237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist