Muccio, Vivian Lee

Muccio, Vivian Lee is an individual health care provider with primary practice located at 3930 Pender Dr Ste 140 , Fairfax VA 22030-0986. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Muccio, Vivian Lee can be contacted via phone (571) 432-0640.

Contact Information

Primary practice address
3930 Pender Dr Ste 140 Fairfax VA 22030-0986
Phone: (571) 432-0640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2201000224 Virginia
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 2101000549 Virginia

Profile Details

NPI number 1760624191
LBN Legal business name Muccio, Vivian Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2009
Last updated Jan 16th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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