Provider Demographics
NPI:1326779745
Name:MACDONALD, MALCOLM SCOTT (AUD)
Entity Type:Individual
Prefix:
First Name:MALCOLM
Middle Name:SCOTT
Last Name:MACDONALD
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3607 PERKIOMEN AVE
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-2712
Mailing Address - Country:US
Mailing Address - Phone:610-404-8025
Mailing Address - Fax:
Practice Address - Street 1:3607 PERKIOMEN AVE
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-2712
Practice Address - Country:US
Practice Address - Phone:610-404-8025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter