Individual
DR. MICHAEL STEPHEN MALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
15906 MILL CREEK BLVD, SUITE 102, MILL CREEK, WA 98012-1797
(425) 225-2626
(425) 225-2634
Mailing address
15906 MILL CREEK BLVD, SUITE 102, MILL CREEK, WA 98012-1797
(425) 225-2626
(425) 225-2634
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD0001117
WA
231HA2400X
Assistive Technology Practitioner Audiologist
LD00001117
WA
231HA2500X
Assistive Technology Supplier Audiologist
LD00001117
WA
237600000X
Audiologist-Hearing Aid Fitter
LD00001117
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117072
DEPT. OF LABOR & IND.
WA
05
—
7089592
—
WA
01
—
MA5615
REGENCE ID #
WA
Enumeration date
06/15/2005
Last updated
12/30/2010
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