MAURA K MALLOY PSYD PA
Psychologist at Lake Worth Rd, Lake Worth, FL

License number
Florida PY0004985
Category
Psychologist
Type
Psychologist
Owner
Name: DR. MAURA K. MALLOY PSY. D.
Title: PRESIDENT & OWNER
Phone: (561) 533-3903
Address
Address
8461 Lake Worth Rd SUITE 125, Lake Worth, FL 33467
National Provider ID: 1023162245
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MAURA K. MALLOY, PSY.D.,P.A

8461 Lk Worth Rd STE 125, Lake Worth, FL 33467

Registration:
Sep 26, 1995
State ID:
P95000074142
Business type:
Florida Profit Corporation
Treasurers:
Maura K Malloy (Chairman, President, Director), 1081 NW 5 Ave, Boynton Beach, FL 33426 (Physical),Aaron Gauss (Treasurer), 1081 NW 5 Ave, Boynton Beach, FL 33426 (Physical)
Agent:
Von Gauss, Aaron,1081 NW 5 Ave, Boynton Beach, FL 33426 (Physical)
EIN:
65-0610749

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