| Doctor Name: | MR. BRENT DONOHOE |
| NPI Number: | 1003109778 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BC-HIS |
| License Number: | 2101001616 |
| Business Practice Address: | 6231 Leesburg Pike Ste 510 Falls Church, VA - 220442102 |
| Business Phone Number: | 7035331622 |
| Business Fax Number: | 7035330920 |
| Mailing Address: | 6231 Leesburg Pike Ste 510, FALLS CHURCH |
| State: | VA |
| Postal Code: | 220442102 |
| Phone Number: | 7035331622 |
| Fax Number: | 7035330920 |
| NPI Enumeration Date: | 05/27/2011 |
| NPI Last Update Date: | 05/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355A2700X |
| License Number: | 2101001616 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Audiology Assistant |
| Taxonomy Definition: | |