Organization
MAIN LINE AUDIOLOGY CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHY LANDAU GOODMAN AU.D. (OWNER)
(610) 667-3277
Entity
Organization
Contact information
Practice address
822 MONTGOMERY AVE, SUITE 318, NARBERTH, PA 19072-1937
(610) 667-3277
(610) 667-1662
Mailing address
916 MONTGOMERY AVE, NARBERTH, PA 19072
(610) 667-3277
(610) 667-1662
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052360
—
NJ
01
—
1322305
BS
PA
01
—
2015581000
KEYSTONE
PA
Enumeration date
07/08/2005
Last updated
03/08/2012
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