Organization
GROWTH PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS A MALIA LCP (OWNER)
(419) 350-8296
Entity
Organization
Contact information
Practice address
10 W PHILLIP RD STE 114, VERNON HILLS, IL 60061-1730
(224) 707-4321
Mailing address
160 MARION AVE, LAKE FOREST, IL 60045-2962
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
08/13/2019
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