Provider Demographics
NPI:1093989931
Name:POSTON, JENNIFER MCNAMARA (PHD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MCNAMARA
Last Name:POSTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7528 RAMBLING RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX STATION
Mailing Address - State:VA
Mailing Address - Zip Code:22039-2911
Mailing Address - Country:US
Mailing Address - Phone:757-692-2384
Mailing Address - Fax:
Practice Address - Street 1:3801 UNIVERSITY DR STE 300
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2503
Practice Address - Country:US
Practice Address - Phone:703-383-8130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006241231H00000X
NJ41YA00091000231H00000X
VA2201001286231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAMC11155Medicare PIN
NJ480067Medicare PIN
PA234844Medicare PIN