Provider Demographics
NPI:1184932709
Name:DOLON, PATRICK (AUD)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:DOLON
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 LINCOLN DR E
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-1500
Mailing Address - Country:US
Mailing Address - Phone:570-578-9471
Mailing Address - Fax:
Practice Address - Street 1:3000 LINCOLN DR E
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-1500
Practice Address - Country:US
Practice Address - Phone:570-578-9471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-16
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1645231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist