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Individual

DR. NADA ROSE MANGIALETTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
91-110 HANUA ST, #208A, KAPOLEI, HI 96707-1705
(808) 682-5808
(808) 682-5808
Mailing address
91-110 HANUA ST, #208A, KAPOLEI, HI 96707-1705
(808) 682-5808
(808) 682-5808

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PSY307
HI
103TC0700X
Clinical Psychologist
Primary
PSY307
HI
103TC2200X
Clinical Child & Adolescent Psychologist
PSY307
HI
103TP2701X
Group Psychotherapy Psychologist
PSY307
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
017588-02
ALOHA CARE QUEST
HI
05
017588-02
HI
01
1413644
UNIVERSITY HEALTH ALLIANC
HI
01
420425
VALUE OPTIONS
HI
01
508654
HMA
HI
Enumeration date
12/01/2006
Last updated
11/20/2007
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