IndividualActive
Jean Fagan, AUD, CCC-A
NPI 1487804183 · Audiologist · Washington, DC
Provider details
- NPI number
- 1487804183
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- AUD, CCC-A
- Sex
- Female
- Sole proprietor
- No
- License
- 01076 (MD)
Practice location
2150 Pennsylvania Ave. Nw
Suite 6-201
Washington, DC 20037
Phone: (202) 715-5659
Mailing address
1982 Teasel Ct
Woodbridge, VA 22192-2945
Registry dates
- Enumerated
- 2008-09-30
- Last updated
- 2008-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.