Individual
MADELYN ILYSE GUBERNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, CCC-A
Contact information
Practice address
2112 PROVIDENCE AVE, CHESTER, PA 19013-5507
(610) 874-5366
(610) 874-8448
Mailing address
2112 PROVIDENCE AVE, CHESTER, PA 19013-5507
(610) 874-5366
(610) 874-8448
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT006539
PA
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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