Individual
AARON CHARLES MALINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1000 N WESTMORELAND RD FL 3, LAKE FOREST, IL 60045-1658
(847) 535-6615
(475) 357-6558
Mailing address
22285 N PEPPER RD, SUITE 401, LAKE BARRINGTON, IL 60010-2538
(847) 882-6604
(847) 882-6228
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
071005817
IL
103G00000X
Clinical Neuropsychologist
Primary
071-005817
IL
103T00000X
Psychologist
071-005817
IL
Other
Enumeration date
12/01/2006
Last updated
09/16/2022
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