Provider Demographics
NPI:1336752690
Name:GOLOSKY, EMILY (AUD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:GOLOSKY
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 1:3050 HAMILTON BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-3691
Mailing Address - Country:US
Mailing Address - Phone:610-395-8224
Mailing Address - Fax:
Practice Address - Street 1:3050 HAMILTON BLVD STE 210
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-3691
Practice Address - Country:US
Practice Address - Phone:610-395-8224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-26
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA001096300231H00000X
PAAT006707231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist