Organization
MAIN LINE AUDIOLOGY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GILPIN (BILLING SUPERVISOR)
(610) 667-3277
Entity
Organization
Contact information
Practice address
916 MONTGOMERY AVE, PENN VALLEY, PA 19072-1913
(610) 667-3277
Mailing address
916 MONTGOMERY AVE, PENN VALLEY, PA 19072-1913
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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