Healthcare Provider Details

I. General information

NPI: 1396741468
Provider Name (Legal Business Name): GEORGE ARTHUR LINDLEY IV PH.D., AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
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: 610-965-9293
  • Fax: 484-519-5030
Mailing address:
  • Phone: 610-965-9293
  • Fax: 484-519-5030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAT000914L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: