Individual
DR. DONNA MARIE MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2002 ORANGE RD, SUITE 105, CULPEPER, VA 22701-4170
(540) 829-9005
(540) 829-9056
Mailing address
2002 ORANGE RD, SUITE 105, CULPEPER, VA 22701-4170
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201000649
VA
231HA2500X
Assistive Technology Supplier Audiologist
2101001248
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010332371
—
VA
Enumeration date
10/28/2005
Last updated
07/13/2015
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