# DR. MICHAEL STEPHEN MALLAHAN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194720367
- **Gender:** Man
- **Credential:** AU.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | LD0001117 | WA | Yes |
| 231HA2400X | Assistive Technology Practitioner Audiologist | LD00001117 | WA | — |
| 231HA2500X | Assistive Technology Supplier Audiologist | LD00001117 | WA | — |
| 237600000X | Audiologist-Hearing Aid Fitter | LD00001117 | WA | — |

## Other

- **Enumeration date:** 06/15/2005
- **Last updated:** 12/30/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 117072 | DEPT. OF LABOR & IND. | WA |
| 05 | — | 7089592 | — | WA |
| 01 | — | MA5615 | REGENCE ID \# | WA |