Provider Demographics
NPI:1518188994
Name:MALSAM, DONNA M (AUD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:M
Last Name:MALSAM
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20720 BRIDLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-7186
Mailing Address - Country:US
Mailing Address - Phone:720-851-0871
Mailing Address - Fax:
Practice Address - Street 1:1635 AURORA CT STE 6200
Practice Address - Street 2:MAIL STOP F736
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2541
Practice Address - Country:US
Practice Address - Phone:720-848-2800
Practice Address - Fax:720-848-2857
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD149231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist