# TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Temple Audiology Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518276948
- **Authorized official:** TONYA WOODARD (CREDENTIALING MANAGER)
- **Authorized official phone:** (215) 707-3911

## Contact information

- **Practice address:** 3509 N BROAD ST, PHILADELPHIA, PA 19140
- **Practice address phone:** (215) 707-3663
- **Practice address fax:** (215) 707-7523
- **Mailing address:** 2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
- **Mailing address phone:** (215) 707-3633
- **Mailing address fax:** (215) 707-6417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | NULL | Yes |
| 231H00000X | Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 10/04/2010
- **Last updated:** 06/05/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007780130704 | — | PA |
| 05 | — | 1007780130795 | — | PA |
| 05 | — | 1007780130796 | — | PA |
| 05 | — | 1007780130797 | — | PA |