Individual
THOMAS MALLOUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1062 E LANCASTER AVE, BRYN MAWR, PA 19010-1552
(610) 525-4929
Mailing address
1062 E LANCASTER AVE, BRYN MAWR, PA 19010-1552
(610) 525-4929
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS003148L
PA
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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