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Individual

STANLEY M MANDEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.D.

Contact information

Practice address
155 SOUTH ST, FREEHOLD, NJ 07728-2042
(732) 303-8171
(732) 536-4562
Mailing address
5 OWENS RD, MARLBORO, NJ 07746-1532
(732) 536-6366
(732) 536-4562

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100314900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
048778
VALUE OPTIONS
NJ
01
324900
MHN
NJ
01
6803049
GHI
NJ
01
P736080
OXFORD
NJ
Enumeration date
10/23/2006
Last updated
07/08/2007
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