Provider Demographics
NPI:1679183206
Name:THE VIENNA HEARING CENTER, INC.
Entity Type:Organization
Organization Name:THE VIENNA HEARING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:703-938-5060
Mailing Address - Street 1:124 PARK ST SE STE 202
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4654
Mailing Address - Country:US
Mailing Address - Phone:703-938-5060
Mailing Address - Fax:703-281-1678
Practice Address - Street 1:124 PARK ST SE STE 202
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4654
Practice Address - Country:US
Practice Address - Phone:703-938-5060
Practice Address - Fax:703-281-1678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-07
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty