Provider Demographics
NPI:1770001968
Name:MARLEY, AUBREY MARIE (AUD)
Entity Type:Individual
Prefix:DR
First Name:AUBREY
Middle Name:MARIE
Last Name:MARLEY
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 1:100 W. MAIN STREET
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446
Mailing Address - Country:US
Mailing Address - Phone:251-855-4217
Mailing Address - Fax:215-855-2240
Practice Address - Street 1:100 W. MAIN STREET
Practice Address - Street 2:SUITE 105
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446
Practice Address - Country:US
Practice Address - Phone:215-855-4217
Practice Address - Fax:215-855-2240
Is Sole Proprietor?:No
Enumeration Date:2017-09-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006521174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist