Healthcare Provider Details

I. General information

NPI: 1306777578
Provider Name (Legal Business Name): EAST PENN AUDIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 E MAIN ST
MACUNGIE PA
18062-1724
US

IV. Provider business mailing address

530 E MAIN ST
MACUNGIE PA
18062-1724
US

V. Phone/Fax

Practice location:
  • Phone: 484-225-8937
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: GEORGE LINDLEY
Title or Position: OWNER
Credential: PH.D., AU.D.
Phone: 484-225-8937