Individual
DR. MELISSA CLARE O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(609) 303-4718
(609) 303-4132
Mailing address
112 WINDHAM CT, NEWTOWN, PA 18940-1749
(215) 200-2399
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
41YA00104100
NJ
237600000X
Audiologist-Hearing Aid Fitter
41YA00104100
NJ
237700000X
Hearing Instrument Specialist
25MG00153200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MG00153200
HEARING AID DISPENSING LICENSE
NJ
01
—
41YA00104100
AUDIOLOGY LICENSE
NJ
Enumeration date
03/03/2020
Last updated
03/03/2020
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