Individual
DR. MARIE T. MANGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5500 HOLMES RUN PKWY STE C4, ALEXANDRIA, VA 22304-2860
(703) 379-7350
Mailing address
5500 HOLMES RUN PKWY STE C4, ALEXANDRIA, VA 22304-2860
(703) 379-7350
(703) 379-7352
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810004252
VA
103TC0700X
Clinical Psychologist
Primary
PY8478
FL
Other
Enumeration date
02/16/2012
Last updated
02/09/2021
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