Provider Demographics
NPI:1861119497
Name:MCCLENAHAN, MALCOLM CURRAN
Entity type:Individual
Prefix:
First Name:MALCOLM
Middle Name:CURRAN
Last Name:MCCLENAHAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 ELYSIAN ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-4502
Mailing Address - Country:US
Mailing Address - Phone:412-877-8938
Mailing Address - Fax:
Practice Address - Street 1:1789 S BRADDOCK AVE STE 550A
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-1842
Practice Address - Country:US
Practice Address - Phone:412-723-1749
Practice Address - Fax:412-346-4319
Is Sole Proprietor?:No
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA17603175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist