| Doctor Name: | DR. MICHAEL STEPHEN MALLAHAN |
| NPI Number: | 1194720367 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | AU.D. |
| License Number: | LD00001117 |
| Business Practice Address: | 15906 Mill Creek Blvd Suite 102 Mill Creek, WA - 980121797 |
| Business Phone Number: | 4252252626 |
| Business Fax Number: | 4252252634 |
| Mailing Address: | 15906 Mill Creek Blvd, Suite 102 MILL CREEK |
| State: | WA |
| Postal Code: | 980121797 |
| Phone Number: | 4252252626 |
| Fax Number: | 4252252634 |
| NPI Enumeration Date: | 06/15/2005 |
| NPI Last Update Date: | 12/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 231HA2400X |
| License Number: | LD00001117 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist |
| Taxonomy Specialization: | Assistive Technology Practitioner |
| Taxonomy Definition: | |