Provider Demographics
NPI:1780918789
Name:YU, JIAN (AUD)
Entity type:Individual
Prefix:MS
First Name:JIAN
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8644 SUDLEY RD
Mailing Address - Street 2:STE 114
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4425
Mailing Address - Country:US
Mailing Address - Phone:703-536-1666
Mailing Address - Fax:703-536-5337
Practice Address - Street 1:6231 LEESBURG PIKE
Practice Address - Street 2:SUITE 512
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2102
Practice Address - Country:US
Practice Address - Phone:703-536-1666
Practice Address - Fax:703-536-5337
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist