Mallory, Donna Marie

Mallory, Donna Marie is an individual health care provider with primary practice located at 2002 Orange Rd Suite 105, Culpeper VA 22701-4170. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Supplier. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Mallory, Donna Marie can be contacted via phone (540) 829-9005.

Contact Information

Primary practice address
2002 Orange Rd Suite 105 Culpeper VA 22701-4170
Phone: (540) 829-9005
Fax: (540) 829-9056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2201000649 Virginia
Speech, Language and Hearing Service Providers / Assistive Technology Supplier 231HA2500X 2101001248 Virginia

Profile Details

NPI number 1639169717
LBN Legal business name Mallory, Donna Marie
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jul 13th, 2015 - about 10 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 1639169717 NPPES
Virginia MEDICAID 010332371

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