Provider Demographics
NPI:1609963107
Name:GONYA-HARTMAN, LINDA MARIE (AUD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:MARIE
Last Name:GONYA-HARTMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 W MAIN ST
Mailing Address - Street 2:PO BOX 375
Mailing Address - City:MOUNT JOY
Mailing Address - State:PA
Mailing Address - Zip Code:17552-1810
Mailing Address - Country:US
Mailing Address - Phone:717-653-6300
Mailing Address - Fax:717-653-5595
Practice Address - Street 1:806 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUNT JOY
Practice Address - State:PA
Practice Address - Zip Code:17552-1810
Practice Address - Country:US
Practice Address - Phone:717-653-6300
Practice Address - Fax:717-653-5595
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT-000569L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA238574Medicare ID - Type Unspecified