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Individual

MEGHAN A MALLOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1 ESSEX CENTER DR, LAHEY NORTHSHORE, PEABODY, MA 01960-2901
(781) 744-2533
(781) 744-1540
Mailing address
1 ESSEX CENTER DR, LAHEY NORTHSHORE, PEABODY, MA 01960-2901
(781) 744-2533
(781) 744-1540

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
789
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
789
LICENSE
MA
Enumeration date
07/21/2010
Last updated
07/21/2010
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