Provider Demographics
NPI:1396741468
Name:LINDLEY, GEORGE ARTHUR IV (PHD, AUD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ARTHUR
Last Name:LINDLEY
Suffix:IV
Gender:M
Credentials:PHD, AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049-2021
Mailing Address - Country:US
Mailing Address - Phone:610-965-1093
Mailing Address - Fax:
Practice Address - Street 1:903 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-2021
Practice Address - Country:US
Practice Address - Phone:610-965-1093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-23
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000914L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101153277001Medicaid
PA2327569000OtherKEYSTONE HEALTHPLAN EAST
PA1650716OtherPERSONAL CHOICE
PA3764063OtherAETNA US HEALTHCARE
PA101153277001Medicaid