Provider Demographics
NPI:1073294815
Name:GREENDYK, ARIA (MT-BC)
Entity Type:Individual
Prefix:
First Name:ARIA
Middle Name:
Last Name:GREENDYK
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 W TRINDLE RD
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-9760
Mailing Address - Country:US
Mailing Address - Phone:973-767-6578
Mailing Address - Fax:
Practice Address - Street 1:4601 LOCUST LN STE 202
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-4445
Practice Address - Country:US
Practice Address - Phone:717-526-2111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist