Mallahan, Michael Stephen

Mallahan, Michael Stephen is an individual health care provider with primary practice located at 15906 Mill Creek Blvd Suite 102, Mill Creek WA 98012-1797. He recently has 4 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Supplier, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Mallahan, Michael Stephen can be contacted via phone (425) 225-2626.

Contact Information

Primary practice address
15906 Mill Creek Blvd Suite 102 Mill Creek WA 98012-1797
Phone: (425) 225-2626
Fax: (425) 225-2634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Assistive Technology Practitioner 231HA2400X LD00001117 Washington
Speech, Language and Hearing Service Providers / Audiologist 231H00000X LD0001117 Washington
Speech, Language and Hearing Service Providers / Assistive Technology Supplier 231HA2500X LD00001117 Washington
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X LD00001117 Washington

Profile Details

NPI number 1194720367
LBN Legal business name Mallahan, Michael Stephen
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Dec 30th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194720367 NPPES
Washington MEDICAID 7089592
Washington Other 117072
Washington Other MA5615

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