Individual
DR. ANI CELINE MANGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
1635 43RD ST S STE 105, FARGO, ND 58103-3579
(218) 287-4338
Mailing address
1547 30TH AVE S, MOORHEAD, MN 56560-5149
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
653
ND
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
07/11/2023
Last updated
09/05/2025
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