# WEST PENN HEARING & AUDIOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275556524
- **Authorized official:** MR. PERRY CONSTANTINO BS HIS BA (OWNER)
- **Authorized official phone:** (724) 282-3250

## Contact information

- **Practice address:** 125 WHITESTOWN RD, LYNDORA, PA 16045
- **Practice address phone:** (724) 282-3250
- **Practice address fax:** (724) 282-3796
- **Mailing address:** 125 WHITESTOWN RD, LYNDORA, PA 16045
- **Mailing address phone:** (724) 282-3250
- **Mailing address fax:** (724) 282-3796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | F02999 | PA | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1351961 | SELECT BLUE | PA |
| 01 | — | 293301 | SECURITY BLUE | PA |