Organization
GROWTH PSYCHOLOGICAL SERVICES EVALUATIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MALIA LCP (DIRECTOR)
(419) 350-8296
Entity
Organization
Contact information
Practice address
1585 N MILWAUKEE AVE STE 109, LIBERTYVILLE, IL 60048-1359
(224) 707-4321
Mailing address
1585 N MILWAUKEE AVE STE 109, LIBERTYVILLE, IL 60048-1359
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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