Provider Demographics
NPI:1992548226
Name:WIRFEL, MADELYN (AUD)
Entity type:Individual
Prefix:DR
First Name:MADELYN
Middle Name:
Last Name:WIRFEL
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 1:613 VALLEY VIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-6411
Mailing Address - Country:US
Mailing Address - Phone:814-941-7770
Mailing Address - Fax:
Practice Address - Street 1:613 VALLEY VIEW BLVD
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-6411
Practice Address - Country:US
Practice Address - Phone:814-941-7770
Practice Address - Fax:814-941-1019
Is Sole Proprietor?:No
Enumeration Date:2024-06-14
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006958231HA2400X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner